Individual
HALEY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
3525 ENSIGN RD NE, STE N, OLYMPIA, WA 98506-5065
(360) 359-1195
Mailing address
3525 ENSIGN RD NE, STE N, OLYMPIA, WA 98506-5065
(360) 359-1195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00009538
WA
Other
Enumeration date
05/20/2009
Last updated
10/17/2011
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