Individual
KUNDU GRANDON LAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3138 WILLOW BEND DR, SAINT CHARLES, MO 63303-6537
(320) 492-8381
Mailing address
3138 WILLOW BEND DR, SAINT CHARLES, MO 63303-6537
(320) 492-8381
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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