Individual
JANA-SOFIA GUMBAN TREMUCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
36600 SCHOOLCRAFT RD, LIVONIA, MI 48150-1176
(734) 432-5300
Mailing address
36600 SCHOOLCRAFT RD, LIVONIA, MI 48150-1176
(734) 432-5300
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
4704352468
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704352468
MI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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