Individual
MRS. KATHLEEN H CUSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1905 CLINT MOORE ROAD, SUITE 212, BOCA RATON, FL 33496-2659
(561) 989-9070
(561) 989-0255
Mailing address
1905 CLINT MOORE ROAD, SUITE 212, BOCA RATON, FL 33496-2659
(561) 989-9070
(561) 989-0255
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
ARNP1518292
FL
Other
Enumeration date
09/07/2011
Last updated
09/25/2012
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