Individual
JEREMY WERDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1181 CAPITAN ST NW, LOS LUNAS, NM 87031-6909
(505) 916-0355
Mailing address
1181 CAPITAN ST NW, LOS LUNAS, NM 87031-6909
(505) 916-0355
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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