Regina Gulley
Community Health Worker in Pontiac, MI. Individual provider (NPI-1).
NPI number1346978772
StatusActive
Last updated in NPPESDec 7, 2023
Details
- NPI
- 1346978772
- Entity type
- Individual (NPI-1)
- Name
- Regina Gulley
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 12, 2022
- Certification date
- Dec 7, 2023
- Last updated
- Dec 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
| 174H00000X | Health Educator | – | – |
Practice location
44405 Woodward AvePontiac, MI 48341-5023
Phone 248-858-6110 · Fax 248-858-6015
Mailing address
844 Village Green Ln Apt 2105Waterford, MI 48328-2427
Phone 248-773-6463
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