Individual
STEPHANIE KUCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68-1122 N KANIKU DR APT 508, KAMUELA, HI 96743-7749
(330) 447-3890
Mailing address
68-1122 N KANIKU DR APT 508, KAMUELA, HI 96743-7749
(330) 447-3890
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN88611
HI
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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