Individual
ESTHER LUDIA KULECHO-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1061 WILLIAM AVE APT C, S LAKE TAHOE, CA 96150-3185
(408) 628-2678
Mailing address
PO BOX 18215, S LAKE TAHOE, CA 96151-8215
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
685297
CA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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