Individual
CYNTHIA NKENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21311 MADA AVE, SOUTHFIELD, MI 48075-3846
(248) 836-8987
Mailing address
30235 PENNINGTON CT, NOVI, MI 48377-1738
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AS630414518
MI
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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