Search › Maryland › 1041C0700X
Jzua Kurniawanto
NPI 1063271062 · on the registry since 2024 · sole proprietor
Practice
- Address
- 8654 Indian Springs Rd
Frederick, MD 21702 - Phone
- (240) 383-5874
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101Y00000X
101YA0400X
101YM0800X
104100000X - Sex
- Female
- Record last updated
- 2024-03-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland