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Individual

MARCIA RENE KUCERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1420 ROOSEVELT AVE STE 4, MOUNT VERNON, WA 98273-2687
(360) 899-4086
(360) 899-4124
Mailing address
800 APACHE DR, MOUNT VERNON, WA 98273-3752
(360) 941-2904

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60670980
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
371117
LABOR AND INDUSTRIES
WA
Enumeration date
08/30/2016
Last updated
07/21/2022
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