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NICANDRA LUNDSTROM

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1952762718

Individual Registrant:
 NICANDRA  LUNDSTROM 
Gender: F
Sole Proprietor

Location and contact information for practice:
238 BROOKLEY AVE SW BUILDING 1300 BOLLING AFB, DC 20032-7704 US
Tel: 888-999-1212  Fax: --

Contact information for business:
45 SYCAMORE AVE APT 537  CHARLESTON, SC 29407-6721 US
Tel: 864-353-1673  Fax: --

Registration Information:
NPI: 1952762718
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y390200000XStudent
Organized Health Care Education/Training Program

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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