Organization
KUCKAMY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE CJ ETIENNE BSCE, MSCE (EXECUTIVE DIRECTOR ASSISTANT)
(954) 803-7192
Entity
Organization
Contact information
Practice address
12350 W SAMPLE RD, CORAL SPRINGS, FL 33065-8021
(954) 803-7192
Mailing address
12350 W SAMPLE RD, CORAL SPRINGS, FL 33065-8021
(954) 803-7192
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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