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Individual

PAMELA ELAINE OMENUKWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSS

Contact information

Practice address
1685 BALDWIN AVE, PONTIAC, MI 48340-1242
(248) 706-3450
Mailing address
1071 ROCHESTER RD APT 23, TROY, MI 48083-2982

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
08/01/2022
Last updated
08/01/2022
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