Individual
JANE W NGUMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
23880 EDINBURGH ST, SOUTHFIELD, MI 48033-4891
(248) 497-6782
Mailing address
23880 EDINBURGH ST, SOUTHFIELD, MI 48033-4891
(248) 497-6782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704279397
MI
Other
Enumeration date
08/26/2015
Last updated
04/14/2016
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