Individual
MARISOL HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
1117 W 31ST ST N, WICHITA, KS 67204-4437
(316) 227-8279
Mailing address
1117 W 31ST ST N, WICHITA, KS 67204-4437
(316) 227-8279
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-159397-091
KS
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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