Individual
SANDY LEE WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
2417 W KENNEWICK AVE, SUITE A, KENNEWICK, WA 99336-3128
(509) 628-4819
Mailing address
2417 W KENNEWICK AVE, SUITE A, KENNEWICK, WA 99336-3128
(509) 628-4819
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009158
—
WA
Enumeration date
04/09/2010
Last updated
11/02/2010
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