Individual
SANDRA L GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
20150 FALL CREEK DR, GOSHEN, IN 46528-6254
(574) 361-4205
Mailing address
20150 FALL CREEK DR, GOSHEN, IN 46528-6254
(574) 361-4205
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28190290A
IN
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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