Individual
DIANA KUKUZENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3501 MASONS MILL RD STE 503, HUNTINGDON VALLEY, PA 19006-3517
(215) 938-7730
Mailing address
139 ALTIMARI CT, SOUTHAMPTON, PA 18966-6002
(215) 498-0844
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP027284
PA
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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