Individual
DR. JACQUELINE NAOMI SANDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
50 N PROGRESS DR, XENIA, OH 45385-2666
(937) 562-2280
(937) 562-2282
Mailing address
50 N PROGRESS DR, XENIA, OH 45385-2666
(937) 562-2280
(937) 562-2282
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.008399
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08101394
—
MS
05
—
2956547
—
OH
Enumeration date
03/28/2006
Last updated
10/31/2024
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