Individual
GAYLENE P WITUCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
512 E CENTRE ST, ROYALTON, MN 56373-9100
(320) 223-5530
Mailing address
512 E CENTRE ST, ROYALTON, MN 56373-9100
(320) 223-5530
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1114599
MN
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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