Individual
SANDRA ST. CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3502 KINGS HWY, APT C-10, BROOKLYN, NY 11234-2750
(347) 587-1347
Mailing address
3502 KINGS HWY, APT C-10, BROOKLYN, NY 11234-2750
(347) 587-1347
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
611509-1
NY
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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