Most Relevant Information
Provider Data
| NPI Number: | 1003572256 |
| Provider Name: | RICH KUKUIA |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/11/2021 |
| Last Updated: | 11/11/2021 |
Provider Practice Location
1681 S 44TH ST
TACOMA
WA
984182414
Practice Location Phone/Fax
| Phone: | 2062512054 |
| Fax: |
Provider Mailing Location
1681 S 44TH ST
TACOMA
WA
984182414
Provider Mailing Phone/Fax
| Phone: | 2062512054 |
| Fax: |