Individual
PENINAH ONYANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6680 EASTERN AVE SE, GRAND RAPIDS, MI 49508-7048
(269) 830-0307
Mailing address
6680 EASTERN AVE SE, GRAND RAPIDS, MI 49508-7048
(269) 830-0307
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704241672NSA200MH
MI
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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