Individual
SANDRA HOAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
(202) 462-4788
Mailing address
2831 15TH ST NW, WASHINGTON, DC 20009-4607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
159
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000169S67
MEDICARE PROVIDER
—
Enumeration date
02/19/2008
Last updated
02/19/2008
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