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Individual

JENNY SANDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2603 BLUERIDGE AVE, SILVER SPRING, MD 20902-2739
(240) 643-7047
Mailing address
2603 BLUERIDGE AVE, SILVER SPRING, MD 20902-2739

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R209451
MD
363LF0000X
Family Nurse Practitioner
RN1032855
DC

Other

Enumeration date
03/16/2017
Last updated
01/11/2024
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