Provider Demographics
NPI:1467283903
Name:SNEDEKER, SIENA (CPT)
Entity type:Individual
Prefix:
First Name:SIENA
Middle Name:
Last Name:SNEDEKER
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1455 NAUTILUS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86404-1947
Mailing Address - Country:US
Mailing Address - Phone:928-302-9805
Mailing Address - Fax:
Practice Address - Street 1:1455 NAUTILUS DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86404-1947
Practice Address - Country:US
Practice Address - Phone:928-302-9805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy