Individual
MRS. KYAUNA SHARAE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 2ND ST, LAKEWOOD, NJ 08701-3324
(732) 363-6655
Mailing address
3600 ROUTE 66 STE 400, NEPTUNE, NJ 07753-2605
(732) 363-6655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
068071
GA
208000000X
Pediatrics Physician
068071
GA
Other
Enumeration date
07/02/2008
Last updated
12/07/2017
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