Siarra Diane Gundersen

NPI #1992536098 in Pocatello, Idaho

Provider Information

NPI Number: 1992536098
Entity Type: Individual
Name: Siarra Diane Gundersen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 10, 2024
Last Updated: Aug 10, 2024

Practice Location

Address: 921 S 8TH AVE STOP 8253
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-4726

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy Technician	183700000X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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