Individual
ERIN KUNIGISKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4762 ROCKY RD, SPRINGFIELD, OR 97478-4924
(281) 905-1987
Mailing address
4762 ROCKY RD, SPRINGFIELD, OR 97478-4924
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200230042LPN
OR
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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