Individual
IVIAN C OKALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13320 COUNTRY WALK CT, VAN BUREN TOWNSHIP, MI 48111-2368
(734) 383-0740
Mailing address
13320 COUNTRY WALK CT, VAN BUREN TOWNSHIP, MI 48111-2368
(734) 383-0740
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704383676
MI
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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