SearchMichigan376K00000X

Charleszetta Gulledge

NPI 1164142923 · on the registry since 2022

Practice

Address
5116 E Outer Dr
Detroit, MI 48234
Phone
(682) 294-5009

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan