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Individual

MS. RITA A KUCMIERZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
3215 W OAK ST, PALESTINE, TX 75801-8484
(903) 731-7000
(903) 731-7016
Mailing address
PO BOX 145, PALESTINE, TX 75802-0145
(903) 731-7000
(903) 731-7016

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
KUCI-0432-0113
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
KUCI-0432-0113
NP LICENSE
TX
Enumeration date
06/15/2006
Last updated
01/21/2015
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