Azibo Khufu Stevens

NPI 1790164465 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1790164465
Gender Male
Enumeration Date 05/27/2015
Last Updated 05/27/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
35425 W MICHIGAN AVE
WAYNE MI, 48184-9800, US
Phone (734) 467-7600
Fax (734) 467-7646
Business Location
35425 W MICHIGAN AVE
WAYNE MI, 48184-9800, US
Phone (734) 467-7600
Fax (734) 467-7646
Toxanomy
Taxonomy Code 171M00000X
License State Michigan
License Number 6801096258
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According to our database, Mr. Azibo Khufu Stevens NPI is 1790164465, taxonomy code is 171M00000X and license number is 6801096258, license state is located at Michigan. Azibo Khufu Stevens physically located at 35425 W Michigan Ave, Wayne MI, 48184-9800. NPI Number Azibo Khufu Stevens has the Individual type.

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1790164465 NPI number is provided on an as is basis without warranty of any kind. 1790164465 is maintained by the National Plan & Provider Enumeration System. The contents of Azibo Khufu Stevens are for informational purposes only.