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Individual

JENNIFER ANUMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4045 FOX LAKE DR, BLOOMFIELD HILLS, MI 48302-1619
(248) 470-1107
Mailing address
4045 FOX LAKE DR, BLOOMFIELD HILLS, MI 48302-1619
(248) 470-1107

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703124216
MI

Other

Enumeration date
04/07/2021
Last updated
04/07/2021
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