Organization
ABUNDANT LIFE HEALTH SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA KERUBO OCHAKO NP (PMHNP)
(952) 737-3202
Entity
Organization
Contact information
Practice address
3508 PINKHAM WAY, RALEIGH, NC 27616-8322
(952) 737-3202
(919) 229-9577
Mailing address
3508 PINKHAM WAY, RALEIGH, NC 27616-8322
(952) 737-3202
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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