Provider Demographics
NPI:1558970731
Name:CUNDARI, JENNIFER ROSE (ND)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:ROSE
Last Name:CUNDARI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:ROSE
Other - Last Name:CUNDARI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:JENNIFER CUNDARI, ND
Mailing Address - Street 1:9 OAK SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-1322
Mailing Address - Country:US
Mailing Address - Phone:778-987-6949
Mailing Address - Fax:
Practice Address - Street 1:2185 ASHBY AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1835
Practice Address - Country:US
Practice Address - Phone:510-529-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1132175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath