Individual
CRYSTAL KUECKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1629 MILL ST, CLAY, MI 48001-4514
(810) 388-1200
Mailing address
603 WESTMINISTER ST, MARINE CITY, MI 48039-3497
(810) 388-1200
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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