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Individual

TAMI JOAN KULKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
343 N. CARLISLE AVE., SOMERTON, AZ 85350
(928) 341-6041
(928) 341-6099
Mailing address
10340 S TYPHOON AVE, YUMA, AZ 85365-5700
(928) 304-5179
(928) 341-6099

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
931958
AHCCCS PROVIDER NUMBER
AZ
Enumeration date
01/30/2007
Last updated
10/24/2014
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