Individual
TERESA AKOTH ODONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
145 MICHIGAN ST NE STE 3410, GRAND RAPIDS, MI 49503-2563
(616) 391-9945
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704282294
MI
Other
Enumeration date
07/16/2021
Last updated
04/03/2023
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