DR. Mardi Gras Nanyongo Etchi-Banyi
NPI #1154673150 in Berrien Springs, Michigan
Provider Information
- NPI Number
- 1154673150
- Entity Type
- Individual
- Name
- DR. Mardi Gras Nanyongo Etchi-Banyi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Enumeration Date
- Oct 15, 2012
- Last Updated
- Apr 17, 2019
Practice Location
- Address
- 612 SAINT JOSEPH AVE
- City
- Berrien Springs
- State
- Michigan
- ZIP Code
- 49103-1603
- Phone
- (301) 377-6096
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Home Health Aide |
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