Individual
TRACY GAWKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15425 HUBBARD ST, LIVONIA, MI 48154-3147
(734) 516-0947
Mailing address
15425 HUBBARD ST, LIVONIA, MI 48154-3147
(734) 516-0947
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704341241
MI
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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