MNYISEI ELAINE KAMVAZAANA

LAKE STATION, IN
NPI1376371708
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: IN  71015457A)
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
MNYISEI ELAINE KAMVAZAANA NP
2490 CENTRAL AVE
LAKE STATION, IN 46405-2122
Phone number: 219-763-8112
Mailing Address
MNYISEI ELAINE KAMVAZAANA NP
2396 BUTTERFLY LN
BERRIEN SPRINGS, MI 49103-8501
Phone number: 269-815-2444