Individual
GALINA PETLAKH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
608 PURDY ST, BIRMINGHAM, MI 48009-1795
(248) 320-7295
Mailing address
608 PURDY ST, BIRMINGHAM, MI 48009-1795
(248) 320-7295
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
4704211679
MI
172V00000X
Community Health Worker
—
—
Other
Enumeration date
12/09/2024
Last updated
01/11/2025
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