Marie Michelle Ezenwokemodo
Marie Michelle Ezenwokemodo is a Licensed Practical Nurse in Canton, Michigan. Licensed in Michigan. Registered with an NPI since 2015.
- Licensed in
- MI
- In the registry since
- 2015
Practice location Address checks out
6223 N Canton Center Rd Ste 201Canton, MI 48187-2696
Phone: (734) 844-6533
Fax: (734) 667-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 4703110083 (MI) |
|---|
Record details
| NPI number | 1710365481 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 13, 2015 |
| Last updated in NPPES | May 13, 2015 |
| Mailing address | 6223 N Canton Center Rd Ste 201, Canton, MI 48187-2696 |
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Modesta Enechukwu
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Demaryst Garwood, LPN
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Nether Gibson
6223 N Canton Center Rd Ste 201, Canton, MI 48187-2696 · (734) 844-6533