Individual
MRS. LINDA FAYE MUNDERLOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
708 MAIN ST, BANCROFT, NE 68004-3014
(402) 648-3336
(402) 648-3338
Mailing address
PO BOX 129, BANCROFT, NE 68004-0129
(402) 648-3336
(402) 648-3338
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
10653
NE
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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