Individual
JULIE VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20255 VICTOR PKWY, LIVONIA, MI 48152-7018
(734) 343-2541
Mailing address
20255 VICTOR PARKWAY, LIVONIA, MI 48152
(734) 343-2541
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/26/2014
Last updated
09/14/2017
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