Individual
ABIE SANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4400 CAPITOLA RD STE 200, CAPITOLA, CA 95010-3571
(831) 426-9302
Mailing address
1260 BONINO WAY, GILROY, CA 95020
(408) 569-8752
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95016146
CA
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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