Individual
ABIGAIL OMABELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13220 WOODWARD AVE, DETROIT, MI 48203-3610
(313) 868-1946
(313) 852-1631
Mailing address
162O1 CRUSE ST., DETROIT, MI 48235
(313) 838-0078
(313) 852-1631
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
230004991771199
MI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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