Individual
STASHA KUCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
920 WHISTLER LN, PROSPER, TX 75078-8672
(214) 326-2158
Mailing address
920 WHISTLER LN, PROSPER, TX 75078-8672
(214) 326-2158
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT81272
TX
Other
Enumeration date
09/18/2009
Last updated
04/29/2020
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