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Eric Ochieng Okoth
Licensed Practical Nurse in Portage, Michigan
NPI 1700105012

Eric Ochieng Okoth is a Licensed Practical Nurse based in Portage, MI. Eric Ochieng Okoth practices in Portage, MI. The NPI Number for Eric Ochieng Okoth is 1700105012 and holds a License No. 4703103818 (Michigan).

The current practice location address for Eric Ochieng Okoth is 1916 Vickery Rd, Portage, MI and can be reached out via phone at 425-289-8514.

Location: 1916 Vickery Rd, Portage, MI, 49002-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700105012
Provider Name
Eric Ochieng Okoth
Credential
Provider Entity Type
Individual
Gender
Male
Address
1916 Vickery Rd, Portage, MI, 49002-7610
Phone Number
425-289-8514
Fax Number
Provider Enumeration Date
05/26/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1916 Vickery Rd
City
Portage
State
Michigan
Zip
49002-7610
Phone Number
425-289-8514
Fax Number
person
Provider Business Mailing Address Details
Address
1916 Vickery Rd
City
Portage
State
Michigan
Zip
49002-7610
Phone Number
425-289-8514
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
4703103818 (Michigan)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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