Individual
KENDRA M SANDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 VOSE FARM RD, SUITE 120, PETERBOROUGH, NH 03458-2154
(603) 924-7236
Mailing address
17 93RD ST, KEENE, NH 03431-3748
(603) 924-7236
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81263595
—
NH
Enumeration date
03/25/2009
Last updated
07/23/2009
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