Carrie Lynn Grundman

NPI #1013721505 in Elkhorn, Nebraska

Provider Information

NPI Number: 1013721505
Entity Type: Individual
Name: Carrie Lynn Grundman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 4, 2025
Last Updated: Feb 4, 2025

Practice Location

Address: 2222 N MAIN ST APT 3204
City: Elkhorn
State: Nebraska
ZIP Code: 68022-2450
Phone: (402) 660-9084

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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