Individual
ANNA JEAN HUNDERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNIM
Contact information
Practice address
607 10TH ST, STE 104, GOLDEN, CO 80401-5817
(720) 428-8701
Mailing address
PO BOX 116, MILAM, TX 75959-0116
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2936
CA
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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