Individual
SANDRA POULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN,SCHOOL NURSE
Contact information
Practice address
6950 ANALY AVE, SEBASTOPOL, CA 95472-3401
(707) 322-7655
Mailing address
226 LA CROSSE AVE, SANTA ROSA, CA 95409-3817
(707) 322-7655
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
817093
CA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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