Individual
PETER EDWARD SANDONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
514 E BROADWAY AVE, MONTESANO, WA 98563-3815
(360) 249-0005
Mailing address
2109 COLEMAN AVE NW, OLYMPIA, WA 98502-4496
(360) 402-3202
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CG61364978
WA
Other
Enumeration date
09/02/2022
Last updated
05/29/2024
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