Jeremy Werderman

NPI #1144627274 in Los Lunas, New Mexico

Provider Information

NPI Number: 1144627274
Entity Type: Individual
Name: Jeremy Werderman
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 4, 2014
Last Updated: Dec 4, 2014

Practice Location

Address: 1181 CAPITAN ST NW
City: Los Lunas
State: New Mexico
ZIP Code: 87031-6909
Phone: (505) 916-0355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Technician, Health Information	247000000X

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