Individual
ROMEO FONJANKWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8485 HONEY LN, CANTON, MI 48187-4103
(240) 224-1812
Mailing address
8485 HONEY LN, CANTON, MI 48187-4103
(240) 224-1812
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703115041
MI
Other
Enumeration date
06/04/2015
Last updated
06/04/2015
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