Individual
OSAYI IGBINOBARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
35700 E MICHIGAN AVE, APT 607, WAYNE, MI 48184-1648
(313) 629-7569
Mailing address
35700 E MICHIGAN AVE, APT 607, WAYNE, MI 48184-1648
(313) 629-7569
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703113517
MI
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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