Individual
EUCHERIA MBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10800 WEST 8 MILE RD, FERNDALE, MI 48220
(248) 398-3200
Mailing address
PO BOX 264, TAYLOR, MI 48180-0264
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704233431
MI
Other
Enumeration date
01/05/2013
Last updated
04/23/2021
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