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Antoinette Pouokam-longmo
Psychiatric/Mental Health Nurse Practitioner in Southgate, Michigan
NPI 1770144370

Antoinette Pouokam-longmo is a Psychiatric/Mental Health Nurse Practitioner based in Southgate, MI and is specialized in Psychiatric/Mental Health. Antoinette Pouokam-longmo practices in Southgate, MI. The NPI Number for Antoinette Pouokam-longmo is 1770144370 and holds a License No. 4704281627 (Michigan).

The current practice location address for Antoinette Pouokam-longmo is 14799 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 877-299-1655.

Location: 14799 Dix Toledo Rd, Southgate, MI, 48195-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770144370
Provider Name
Antoinette Pouokam-longmo
Credential
Provider Entity Type
Individual
Gender
Female
Address
14799 Dix Toledo Rd, Southgate, MI, 48195-2507
Phone Number
877-299-1655
Fax Number
Provider Enumeration Date
06/25/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
877-299-1655
Fax Number
person
Provider Business Mailing Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
877-299-1655
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
4704281627 (Michigan)
Definition
Definition to come...
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