Individual
JILL LUNDBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RYT
Contact information
Practice address
5927 SCHUMANN DR, FITCHBURG, WI 53711-5104
(608) 444-7035
Mailing address
5927 SCHUMANN DR, FITCHBURG, WI 53711-5104
(608) 444-7035
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
117062
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117062
YOGA ALLIANCE REGISTRY ID
—
Enumeration date
07/02/2014
Last updated
07/02/2014
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