Individual
CORINA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 S JAMES ST, CARTHAGE, NY 13619-1521
(315) 493-9754
Mailing address
651 S JAMES ST, CARTHAGE, NY 13619-1521
(315) 493-9754
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
257516-1
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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