Individual
IRENE EWANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
865 N MAPLE RD, ANN ARBOR, MI 48103-2833
(734) 474-2799
Mailing address
865 N MAPLE RD, ANN ARBOR, MI 48103-2833
(734) 474-2799
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704316441
MI
Other
Enumeration date
01/20/2015
Last updated
01/27/2016
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