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Individual

RAISHUNN DENITA SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5020
Mailing address
4752 SUGARMILL RD N, EIGHT MILE, AL 36613-3748
(251) 442-4046

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
LPTA2303
MS

Other

Enumeration date
12/29/2018
Last updated
12/29/2018
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