Provider Demographics
NPI:1497155097
Name:ALOVOKPINHOUN, PAULE
Entity Type:Individual
Prefix:
First Name:PAULE
Middle Name:
Last Name:ALOVOKPINHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1434 CHESTNUT DR
Mailing Address - Street 2:APT15
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1232
Mailing Address - Country:US
Mailing Address - Phone:734-218-0354
Mailing Address - Fax:
Practice Address - Street 1:1434 CHESTNUT DR
Practice Address - Street 2:APT15
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1232
Practice Address - Country:US
Practice Address - Phone:734-218-0354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI470311453164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse