Individual
DEIDRI SANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1110 7TH AVE, CUMBERLAND, WI 54829-9138
(715) 822-2741
Mailing address
PO BOX 1602, REIDSVILLE, NC 27323-1602
(336) 587-3631
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
J6P7L8D8
NC
Other
Enumeration date
12/02/2017
Last updated
12/02/2017
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