Individual
COURTNEY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 WASHINGTON AVE, ALTON, IL 62002-4668
(618) 578-3806
Mailing address
2101 WASHINGTON AVE, ALTON, IL 62002-4668
(618) 578-3806
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1968
—
IL
Enumeration date
04/28/2020
Last updated
04/28/2020
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