Provider Demographics
NPI:1336854157
Name:RULE, JUNELLA (MED)
Entity Type:Individual
Prefix:
First Name:JUNELLA
Middle Name:
Last Name:RULE
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 DANGLWOOD CT
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49444-6702
Mailing Address - Country:US
Mailing Address - Phone:231-855-1858
Mailing Address - Fax:
Practice Address - Street 1:3045 DANGLWOOD CT
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49444-6702
Practice Address - Country:US
Practice Address - Phone:231-855-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool