Individual
CATHERINE NCHAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30774 BEECHWOOD ST, APT 44201, WIXOM, MI 48393-2810
(248) 499-2939
Mailing address
30774 BEECHWOOD ST, APT 44201, WIXOM, MI 48393-2810
(248) 499-2939
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704282086
MI
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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