Individual
MRS. ANGI RUTHANN GUNDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 S CRESTWOOD DR NE, ALEXANDRIA, MN 56308-8967
(320) 766-9239
Mailing address
2809 S CRESTWOOD DR NE, ALEXANDRIA, MN 56308-8967
(320) 766-9239
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
03/08/2014
Last updated
03/08/2014
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