Individual
SANDRA K KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
632 E 235TH ST APT 2, BRONX, NY 10466-2737
(340) 201-3961
Mailing address
632 E 235TH ST APT 2, BRONX, NY 10466-2737
(340) 201-3961
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
539591-1
NY
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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