Individual
MAEGAN ALAURA KULICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
7087 HIGHWAY 151, AVA, IL 62907-2447
(161) 823-1027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041508289
IL
Other
Enumeration date
08/21/2023
Last updated
08/21/2023
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