Individual
PETRA OKONKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29740 MARSHALL DR, WESTLAND, MI 48186-7360
(734) 444-7489
Mailing address
29740 MARSHALL DR, WESTLAND, MI 48186-7360
(734) 444-7489
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703108670
MI
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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