Individual
JEANNE THERESE GUGUDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2800 W GRAND BLVD, DETROIT, MI 48202-2610
(313) 799-6619
Mailing address
16705 WALTER ST, SOUTHGATE, MI 48195-2984
(734) 281-1543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704176174
MI
Other
Enumeration date
07/31/2018
Last updated
02/15/2021
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