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Individual

SHERRY L SANDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN-CANFIELD ROAD, SUITE 101, CANFIELD, OH 44406-7010
(330) 286-5330
(330) 286-5396

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN260209
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2083687
OH
01
430046822
MEDICARE RAILROAD
OH
Enumeration date
06/27/2006
Last updated
07/08/2010
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