Provider Demographics
NPI:1194397745
Name:VUKI, MARTHA
Entity type:Individual
Prefix:
First Name:MARTHA
Middle Name:
Last Name:VUKI
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 1:5457 TRAIL ST
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2477
Mailing Address - Country:US
Mailing Address - Phone:714-273-9778
Mailing Address - Fax:
Practice Address - Street 1:3100 MILL ST STE 204
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2217
Practice Address - Country:US
Practice Address - Phone:714-273-9778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2021-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner