Individual
NICHOLAS JEFFERY SANSERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7201 W GRANDRIDGE BLVD STE 101, KENNEWICK, WA 99336-6709
(509) 221-6351
Mailing address
7201 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6709
(509) 221-5520
(509) 221-5521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
61429029
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/08/2020
Last updated
08/09/2024
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