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Individual
SANDRA H DEITCH
Active
Individual
SANDRA H DEITCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR05729800
NJ
364SW0102X
Women's Health Clinical Nurse Specialist
F360015
NY
367A00000X
Advanced Practice Midwife
Primary
25ME00008000
NJ
Other
Enumeration date
08/15/2006
Last updated
07/14/2015
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