Individual
HENRIETTE KENGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41521 W 11 MILE RD, NOVI, MI 48375-1803
(248) 299-0030
Mailing address
900 LONG BLVD, APT 522, LANSING, MI 48911-6703
(517) 862-7127
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704294669
MI
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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