Individual
KATHY UNTERNAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
4420 FOSBERG RD, TURLOCK, CA 95382-0333
(209) 535-6729
Mailing address
4420 FOSBERG RD, TURLOCK, CA 95382-0333
(209) 535-6729
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CMT93688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CMT93688
STATE OF CALIFORNIA
CA
Enumeration date
06/29/2012
Last updated
06/29/2012
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