Individual
NANCY KUNTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 S MAIN ST, ORANGE, CA 92868-3835
(714) 532-8515
Mailing address
455 S MAIN ST, ORANGE, CA 92868-3835
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
6166
CA
Other
Enumeration date
10/05/2012
Last updated
10/08/2012
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