Individual
NIKI M GOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3487 S LINDEN RD, FLINT, MI 48507-3025
(866) 498-3909
Mailing address
3487 S LINDEN RD, FLINT, MI 48507-3025
(866) 498-3909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704324396
MI
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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