Individual
MS. SANDRA ALEXIS LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10710 MUKILTEO SPEEDWAY, MUKILTEO, WA 98275-5021
(425) 349-8888
Mailing address
4525 164TH ST SW APT Y205, LYNNWOOD, WA 98087-8661
(425) 244-3744
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
00082994
WA
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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