Individual
MRS. LINDA ANN RUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
38 WHIPPLE ROAD, BLANCHARD RESIDENCE, SOUTH HERO, VT 05486
(802) 372-4020
Mailing address
777 SWAMP RD, FAIRFIELD, VT 05455-5480
(802) 782-3718
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
025.0006218
VT
Other
Enumeration date
08/05/2013
Last updated
08/07/2013
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