Individual
DONNA LYNN BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
950 CAMPTON ST, ELY, NV 89301-1965
(970) 690-6170
Mailing address
PO BOX 23, LUND, NV 89317-0023
(970) 690-6170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
0306072861
NV
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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