| Octavia Coker, | |
|
20566 Westphalia St, Detroit, MI 48205-1153 | |
| (586) 344-4151 | |
| Not Available |
| Full Name | Octavia Coker |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 20566 Westphalia St, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649666504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703112872 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Octavia Coker, 20566 Westphalia St, Detroit, MI 48205-1153 Ph: () - | Octavia Coker, 20566 Westphalia St, Detroit, MI 48205-1153 Ph: (586) 344-4151 |
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