Individual
SANDY WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3050 TRIPOLI DR, LAKE HAVASU CITY, AZ 86404-1529
(928) 412-1070
Mailing address
3050 TRIPOLI DR, LAKE HAVASU CITY, AZ 86404-1529
(928) 412-1070
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN082131
AZ
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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