Individual
MS. SANDRA GWEN ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 W BANCROFT ST, TOLEDO, OH 43620-1606
(419) 377-0383
Mailing address
3404 PINEWAY DR, TOLEDO, OH 43614-4146
(419) 206-6781
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
205661
OH
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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