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Individual

MAUREEN KUDLICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
9040 JACKSON AVE ATTN:MCHJ-CLQ-C ATTN PATRICIA SHUSTER, TACOMA, WA 98431-0001
(253) 968-3869
Mailing address
3924 ROSSBERG ST SE, LACEY, WA 98503-3592
(360) 481-6461

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN60603853
WA

Other

Enumeration date
09/06/2017
Last updated
07/21/2022
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