Individual
LISA ANN GULKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30125 LEEMOOR ST, BEVERLY HILLS, MI 48025-4910
(313) 573-8727
Mailing address
30125 LEEMOOR ST, BEVERLY HILLS, MI 48025-4910
(313) 573-8727
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704183883
MI
Other
Enumeration date
07/23/2013
Last updated
07/23/2013
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