Individual
MANAMINA MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6463 PRAIRIE POINTE DR SE, CALEDONIA, MI 49316-7570
(616) 482-9709
Mailing address
6463 PRAIRIE POINTE DR SE, CALEDONIA, MI 49316-7570
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704350512
MI
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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