Individual
DOMINIQUE GUGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1853 RW BERENDS DR SW, WYOMING, MI 49519-4955
(616) 534-9300
Mailing address
45907 24TH AVE, BLOOMINGDALE, MI 49026-9766
(269) 521-3484
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
4704233050
MI
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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