Individual
SABRENA L ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2165 PROMISE RD, RAPID CITY, SD 57701-8981
(605) 718-1095
Mailing address
21678 MCINTOSH RD, PIEDMONT, SD 57769-2127
(480) 694-2419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3497
AZ
Other
Enumeration date
10/02/2006
Last updated
03/18/2024
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