GABRIEL TAKUH

PORTAGE, MI
NPI1790355907
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MI  4704281691)
Enumeration Date2021-06-29
Last Update Date2021-06-29
Business Address
GABRIEL TAKUH
1588 DRAYTON CT
PORTAGE, MI 49002-7293
Phone number: 269-779-6415
Mailing Address
GABRIEL TAKUH
1588 DRAYTON CT
PORTAGE, MI 49002-7293
Phone number: 269-779-6415