Individual
DANA LYNN KUKOROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 CASTLEGLEN DR APT 106, GARLAND, TX 75043-5856
(214) 642-2863
Mailing address
806 CASTLEGLEN DR APT 106, GARLAND, TX 75043-5856
(214) 642-2863
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
343847
TX
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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