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Individual

PHILOMINA NKWETA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11504 WAHRMAN ST, ROMULUS, MI 48174-3860
(202) 390-9782
Mailing address
11504 WAHRMAN ST, ROMULUS, MI 48174-3860
(202) 390-9782

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703110707
MI

Other

Enumeration date
06/18/2015
Last updated
06/18/2015
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