KIRSTEN ARIELLE HUNDERTMARK

ZACHARY, LA
NPI1043962681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: LA  310284)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: RI  AT00385)
Enumeration Date2022-01-25
Last Update Date2022-01-25
Business Address
KIRSTEN ARIELLE HUNDERTMARK MS, LAT, ATC
4100 BRONCO LN
ZACHARY, LA 70791-3024
Phone number: 225-654-2776
Mailing Address
KIRSTEN ARIELLE HUNDERTMARK MS, LAT, ATC
1229 OLDE OAKS DR
ZACHARY, LA 70791-7030
Phone number: 401-965-2012
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