Individual
YAUKPALA INA GOFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, AGNP-C, CCRN
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(248) 581-5834
(248) 581-5635
Mailing address
29490 MCDONNELL CT, SOUTHFIELD, MI 48076-1707
(248) 766-2747
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704200810
MI
Other
Enumeration date
02/24/2018
Last updated
11/21/2019
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