Individual
JEAN NYAMBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4707 SAINT ANTOINE ST, DETROIT, MI 48201-1427
(952) 442-9770
Mailing address
PO BOX 67000, DEPT 203401, DETROIT, MI 48267-2034
(952) 442-9770
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
4704256997
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704256997
MI
Other
Enumeration date
03/29/2007
Last updated
09/09/2015
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