JUDE OSAGIE UKPEBOR

SOUTHFIELD, MI
NPI1669227161
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704363555)
Enumeration Date2024-04-19
Last Update Date2024-04-19
Business Address
JUDE OSAGIE UKPEBOR PMHNP-BC
27200 LAHSER RD STE 100
SOUTHFIELD, MI 48034-2137
Phone number: 248-208-9215
Mailing Address
JUDE OSAGIE UKPEBOR PMHNP-BC
27200 LAHSER RD STE 100
SOUTHFIELD, MI 48034-2137
Phone number: 248-208-9215