Individual
BARBARA KUTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8638
Mailing address
10675 BRYANT ST SPC 25, YUCAIPA, CA 92399-3052
(909) 363-6741
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95040469
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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