BROOKLYN GUNDERSON

PEORIA, IL
NPI1477193035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096.005574)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-01-13
Last Update Date2024-02-21
Business Address
BROOKLYN GUNDERSON
1501 W BRADLEY AVE
PEORIA, IL 61625-3219
Phone number: 715-507-0439
Mailing Address
BROOKLYN GUNDERSON
5815 N ASPEN WOOD DR APT 5203
PEORIA, IL 61615-8429
Phone number: 715-507-0439