Individual
SANDRA EADES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2874 SE 4391, ANDREWS, TX 79714-6125
(432) 924-4892
Mailing address
2874 SE 4391, ANDREWS, TX 79714-6125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
206103
TX
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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