Individual
ESTEPHANIA NUNEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
3450 RUEMMELE RD, APT 112, GRAND FORKS, ND 58201-6072
(777) 701-0723
Mailing address
3450 RUEMMELE RD, APT 112, GRAND FORKS, ND 58201-6072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1684-39
WI
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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