Individual
GRACE KUNESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 OBSERVATORY DR # 1057, MADISON, WI 53706-1121
(920) 750-3369
Mailing address
3400 N DURKEE ST, APPLETON, WI 54911-1230
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/04/2020
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