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Vicki Gjukich

Technician, Personal Care Attendant in Southgate, MI. Individual provider (NPI-1).

NPI number1033346309
StatusActive
Last updated in NPPESJun 15, 2009

Details

NPI
1033346309
Entity type
Individual (NPI-1)
Name
Vicki Gjukich
Sex
Female
Sole proprietor
No
Enumeration date
Jun 15, 2009
Last updated
Jun 15, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

19401 Northline Rd
Southgate, MI 48195-2277

Phone 734-785-7718

Mailing address

15215 Thomas Ave
Allen Park, MI 48101-1918

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