Individual
MRS. GRACE ALLEN GULLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13901 E JEFFERSON AVE, DETROIT, MI 48215-2720
(313) 921-5500
Mailing address
13901 E JEFFERSON AVE, 7900 KERCHEVAL, DETROIT, MI 48215-2720
(313) 921-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704100180
MI
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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