Individual
MONICA VICUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1033 ACADEMY DR, ROCHESTER, MI 48307-4607
(248) 217-8374
Mailing address
1033 ACADEMY DR, ROCHESTER, MI 48307-4607
(248) 217-8374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4770421776
MI
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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