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Individual

KIRSTEN ARIELLE HUNDERTMARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
4100 BRONCO LN, ZACHARY, LA 70791-3024
(225) 654-2776
Mailing address
1229 OLDE OAKS DR, ZACHARY, LA 70791-7030
(401) 965-2012

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
310284
LA
2255A2300X
Athletic Trainer
AT00385
RI

Other

Enumeration date
01/25/2022
Last updated
01/25/2022
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