Individual
SANDRA CHRISTINE MILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
BAS, 110TH CHEMICAL BN (TE), BLDG 16122 D STREET, JBLM, WA 98433
(253) 477-4830
Mailing address
4632 DURHAM ST SE, LACEY, WA 98503
(253) 448-1248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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