Individual
HALLIE KUCHERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2027 CROSSROADS BLVD, WATERLOO, IA 50702-4405
(319) 505-2142
Mailing address
816 LISA DR, WATERLOO, IA 50701-5212
(319) 296-5960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
096272
IA
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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