WABANANG GAIASHKIBOS KUCZEK

SANTA FE, NM
NPI1841217403
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NM  PA2003-0044)
Enumeration Date2006-07-17
Last Update Date2007-07-08
Business Address
Mrs. WABANANG GAIASHKIBOS KUCZEK MPH, PA-C
1600 SAINT MICHAELS DR
SANTA FE, NM 87505-7615
Phone number: 505-473-6918
Mailing Address
Mrs. WABANANG GAIASHKIBOS KUCZEK MPH, PA-C
16 CLOUD MARCH E
SANTA FE, NM 87506-2171
Phone number: 505-989-1893
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