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Individual

OGECHI NITA ENYIOKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
30500 VAN DYKE AVE, WARREN, MI 48093-2195
(248) 325-7093
Mailing address
29714 SOMERSET DR, SOUTHFIELD, MI 48076-1871
(248) 325-7093

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704289385
MI

Other

Enumeration date
02/26/2019
Last updated
02/26/2019
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