Individual
JUELA KUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
259 MACK AVE, DETROIT, MI 48201-2427
(313) 577-1716
Mailing address
259 MACK AVE, DETROIT, MI 48201-2427
(248) 635-6522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009195
MI
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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