Individual
CHANTEL NICOLE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
804 LONGMAID DR, REISTERSTOWN, MD 21136-6241
(443) 213-5900
(410) 871-8721
Mailing address
804 LONGMAID DR, REISTERSTOWN, MD 21136-6241
(443) 213-5900
(410) 871-8721
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01571
MD
213EP1101X
Primary Podiatric Medicine Podiatrist
E1-0000231
DE
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1000122
DC
Other
Enumeration date
03/26/2010
Last updated
02/28/2023
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