Individual
SOPHIA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
284 PARK AVE UNIT 2, RUTHERFORD, NJ 07070-2328
(646) 943-2304
Mailing address
127 W 25TH ST, NEW YORK, NY 10001-7207
(212) 533-3281
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
276780
NY
Other
Enumeration date
04/06/2018
Last updated
04/06/2018
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