Individual
SANDRA BRAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1000 WALLACE WAY, GRANDVIEW, WA 98930-8805
(509) 439-1064
Mailing address
612 F AVE, GRANGER, WA 98932-9308
(509) 439-1064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61582097
WA
Other
Enumeration date
08/03/2024
Last updated
11/22/2024
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