Individual
MISS IFEOMA O OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13705 W GREEN MEADOW DR, NEW BERLIN, WI 53151-3135
(262) 786-6974
Mailing address
4830 N 47TH ST, MILWAUKEE, WI 53218-4414
(414) 732-8731
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
157236-030
WI
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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