Individual
TRYNNA LYNN KUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,IBCLC
Contact information
Practice address
1 SIGNATURE POINT DR, APT 207, LEAGUE CITY, TX 77573-6508
(281) 755-1866
Mailing address
1 SIGNATURE POINT DR, APT 207, LEAGUE CITY, TX 77573-6508
(281) 755-1866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
533482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11122208
IBCLC
—
01
—
533482
RN LICENSE
TX
Enumeration date
05/07/2016
Last updated
05/07/2016
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