Individual
OCTAVIA COKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20469 ELKHART ST, HARPER WOODS, MI 48225-2237
(586) 229-4559
Mailing address
20566 WESTPHALIA ST, DETROIT, MI 48205-1153
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704410074
MI
164W00000X
Licensed Practical Nurse
4703112872
MI
Other
Enumeration date
04/07/2015
Last updated
12/02/2024
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