Individual
CRYSTAL D WUNDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1239 CR 2300, CANEY, KS 67333-8601
(620) 515-5572
Mailing address
1239 CR 2300, CANEY, KS 67333-8601
(620) 515-5572
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R0128612
OK
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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