Individual
SANDRA JEAN GADDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
272 W BADGER LN, SHELTON, WA 98584-8763
(360) 545-7293
Mailing address
272 W BADGER LN, SHELTON, WA 98584-8763
(360) 545-7293
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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