Individual
MS. SANDRA GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 WOODLAND AVE, PHILADELPHIA, PA 19142-1039
(267) 444-4266
Mailing address
7101 WOODLAND AVE, PHILADELPHIA, PA 19142-1039
(267) 444-4688
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AG03250053
PA
Other
Enumeration date
04/24/2025
Last updated
01/14/2026
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