Individual
MARIETA VILLANUEVA GAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1916
(313) 576-1000
Mailing address
4164 COOPER AVE, ROYAL OAK, MI 48073-1506
(248) 797-6850
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
4704292688
MI
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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