| Abundant Life Health Support | |
|
3508 Pinkham Way Raleigh NC 27616-8322 | |
| (952) 737-3202 | |
| (919) 229-9577 |
| Full Name | Abundant Life Health Support |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3508 Pinkham Way, Raleigh, North Carolina |
| Authorized Official Name and Position | Martha Kerubo Ochako (PMHNP) |
| Authorized Official Contact | 9527373202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abundant Life Health Support 3508 Pinkham Way Raleigh NC 27616-8322 Ph: (952) 737-3202 | Abundant Life Health Support 3508 Pinkham Way Raleigh NC 27616-8322 Ph: (952) 737-3202 |
| NPI Number | 1992544381 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 05/23/2024 |
| Certification Date | 05/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992544381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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