Individual
SANDRA STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16419 40TH DR NE, ARLINGTON, WA 98223-8449
(360) 618-3379
Mailing address
16419 40TH DR NE, ARLINGTON, WA 98223-8449
(360) 618-3379
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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