MARIE MICHELLE EZENWOKEMODO

CANTON, MI
NPI1710365481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703110083)
Enumeration Date2015-05-13
Last Update Date2015-05-13
Business Address
MARIE MICHELLE EZENWOKEMODO
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
Mailing Address
MARIE MICHELLE EZENWOKEMODO
6223 N CANTON CENTER RD STE 201
CANTON, MI 48187-2696
Phone number: 734-844-6533
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