Individual
SANDRA FENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
11126 SE 256TH ST, SUITE O203, KENT, WA 98030-5633
(253) 777-4298
(253) 944-9196
Mailing address
11126 SE 256TH ST, SUITE O203, KENT, WA 98030-5633
(253) 777-4298
(253) 944-9196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60526584
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA60526584
LMP
WA
Enumeration date
07/25/2016
Last updated
07/25/2016
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