CHINEZE EKILISIE MBANUGO

DETROIT, MI
NPI1063092955
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-04-13
Last Update Date2022-04-13
Business Address
CHINEZE EKILISIE MBANUGO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1601
Mailing Address
CHINEZE EKILISIE MBANUGO MD
2799 W GRAND BLVD
DETROIT, MI 48202-2689
Phone number: 313-916-1601