Individual
JUDITH VIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33505 SCHOOLCRAFT RD, LIVONIA, MI 48150-1630
(734) 513-7598
Mailing address
15223 KENNEBEC ST, SOUTHGATE, MI 48195-2035
(734) 308-4543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704191865
MI
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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