Individual
SANDRA KATHERINE STANSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SMITH ST APT A, CHARLESTON, SC 29401-1884
(843) 694-1772
Mailing address
85 SMITH ST APT A, CHARLESTON, SC 29401-1884
(843) 694-1772
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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