Daniel William Cucullu

NPI #1407535958 in Wasilla, Alaska

Provider Information

NPI Number: 1407535958
Entity Type: Individual
Name: Daniel William Cucullu
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jul 12, 2023
Last Updated: Jul 12, 2023

Practice Location

Address: 591 S KNIK GOOSE BAY RD
City: Wasilla
State: Alaska
ZIP Code: 99654-8062
Phone: (541) 954-7983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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