Individual
SANDRA ANN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22415 N PERRY RD, COLBERT, WA 99005-9736
(509) 467-1584
(509) 467-1584
Mailing address
PO BOX 3056, DEER PARK, WA 99006-3056
(509) 821-1830
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
WA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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