Individual
EMILY JANE JUCKNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10707 FRANKFORT, PINCKNEY, MI 48169-8432
(734) 474-6447
Mailing address
10707 FRANKFORT, PINCKNEY, MI 48169-8432
(734) 474-6447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008221
MI
Other
Enumeration date
05/31/2017
Last updated
05/17/2023
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