Provider Demographics
NPI:1275073744
Name:AIUTO, GINA (CLC)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:
Last Name:AIUTO
Suffix:
Gender:F
Credentials:CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18235 MARQUETTE ST
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48066-3400
Mailing Address - Country:US
Mailing Address - Phone:586-601-8880
Mailing Address - Fax:
Practice Address - Street 1:18235 MARQUETTE ST
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48066-3400
Practice Address - Country:US
Practice Address - Phone:586-601-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN