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Organization
SANDO'S WHOLE LIFE CENTER FOR HEALTH LLC
Active
Organization
SANDO'S WHOLE LIFE CENTER FOR HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACIE L SANDO DC (DOCTOR/OWNER)
(570) 401-8865
Entity
Organization
Contact information
Practice address
600 N HUNTER HWY, DRUMS, PA 18222-2070
(570) 788-4484
Mailing address
600 N HUNTER HWY, DRUMS, PA 18222-2070
(570) 788-4484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011929270001
—
PA
01
—
11430955
CAQH
PA
Enumeration date
01/19/2021
Last updated
01/19/2021
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