Individual
MS. GLADYS SANDANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE, CME, COE, CPCP
Contact information
Practice address
1424 49TH ST NE, TACOMA, WA 98422-1818
(253) 948-7127
Mailing address
509 VALLEY AVE NE, #16, PUYALLUP, WA 98372-6965
(253) 948-7127
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
602869350
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602869350
—
WA
Enumeration date
03/19/2012
Last updated
03/19/2012
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