Individual
ANA KUKULJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5167 SEA MIST CT, SAN DIEGO, CA 92121-4228
(619) 889-0603
Mailing address
5167 SEA MIST CT, SAN DIEGO, CA 92121-4228
(619) 889-0603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95001490
CA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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