Individual
MS. SANDRA ANDERSON WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
68 CENTRAL AVE, PORT JEFFERSON STATION, NY 11776-3016
(631) 681-8475
Mailing address
68 CENTRAL AVE, PORT JEFFERSON STATION, NY 11776-3016
(631) 681-8475
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
236180-1
NY
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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