| NPI | 1356462030 |
|---|---|
| Professional Name | VENITA R. FLUCKER PA-C |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-001970) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 85001970) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-04-23 |