Individual
ANNETT UDUJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13305 REECK CT, SOUTHGATE, MI 48195-3197
(734) 225-2090
Mailing address
31500 SCHOOLCRAFT RD, LIVONIA, MI 48150-1805
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704225832
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4704225832
MI
Other
Enumeration date
09/08/2017
Last updated
08/18/2019
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