Individual
LAURA GUNDERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
4 HARRIMAN DR, GOSHEN, NY 10924-0000
(845) 615-1141
(845) 294-4366
Mailing address
PO BOX 29, GOSHEN, NY 10924-0029
(845) 615-1141
(845) 294-4366
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
002712
NY
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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