Individual
RICHARD SANDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
87 OMAHA AVE, ROCKAWAY, NJ 07866-1914
(973) 586-7183
Mailing address
87 OMAHA AVE, ROCKAWAY, NJ 07866-1914
(973) 586-7183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00030200
NJ
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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