Individual
JUDY KUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PLANET CT, FAIRFIELD, OH 45014-5013
(513) 582-9424
Mailing address
18 PLANET CT, FAIRFIELD, OH 45014-5013
(513) 582-9424
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN. 364470
OH
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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