Individual
GLORIA OSUAMADI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5747 N BERRY ST, WESTLAND, MI 48185-8101
(734) 968-3474
Mailing address
5747 N BERRY ST, WESTLAND, MI 48185-8101
(734) 968-3474
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105046
MI
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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