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Individual
SANDY MA
Active
Individual
SANDY MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00036091
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8249898
—
WA
Enumeration date
02/01/2007
Last updated
10/08/2020
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