Individual
MS. JANE ELIZABETH SANBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4201 LAKE BOONE TRL, SUITE 202, RALEIGH, NC 27607-7512
(919) 235-0050
(919) 235-0505
Mailing address
5705 COUNTRY FOREST DR, RALEIGH, NC 27606-4458
(919) 601-4415
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000401
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013NA
—
NC
Enumeration date
10/13/2006
Last updated
07/02/2008
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