JOSEPH JOHN KUKUCKA

IRMO, SC
NPI1801474408
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  24211)
Enumeration Date2021-04-01
Last Update Date2021-04-01
Business Address
JOSEPH JOHN KUKUCKA FNP
18 ASH CT
IRMO, SC 29063
Phone number: 803-749-9531
Mailing Address
JOSEPH JOHN KUKUCKA FNP
18 ASH CT
IRMO, SC 29063-9584
Phone number: 803-749-9531
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