Provider Demographics
NPI:1710127584
Name:HUNN, GERALDINE (LMT)
Entity Type:Individual
Prefix:MS
First Name:GERALDINE
Middle Name:
Last Name:HUNN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1313 S JACKSON ST
Mailing Address - Street 2:APT B
Mailing Address - City:SAN ANGELO
Mailing Address - State:TX
Mailing Address - Zip Code:76901-4369
Mailing Address - Country:US
Mailing Address - Phone:325-212-6742
Mailing Address - Fax:
Practice Address - Street 1:1313 S JACKSON ST
Practice Address - Street 2:APT B
Practice Address - City:SAN ANGELO
Practice Address - State:TX
Practice Address - Zip Code:76901-4369
Practice Address - Country:US
Practice Address - Phone:325-212-6742
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT005194171W00000X
173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No173C00000XOther Service ProvidersReflexologist