Provider Demographics
NPI:1457745739
Name:STRATTON, JUANITA GAIL
Entity Type:Individual
Prefix:MS
First Name:JUANITA
Middle Name:GAIL
Last Name:STRATTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12841 PINE ST
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6826
Mailing Address - Country:US
Mailing Address - Phone:734-347-4461
Mailing Address - Fax:
Practice Address - Street 1:12841 PINE ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6826
Practice Address - Country:US
Practice Address - Phone:734-347-4461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other