Individual
GRETA OSHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48230 PONTIAC TRL APT 29, WIXOM, MI 48393-2510
(248) 825-5907
Mailing address
48230 PONTIAC TRL APT 29, WIXOM, MI 48393-2510
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704329124
MI
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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