Individual
RANDY L SANDAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.D.
Contact information
Practice address
234 N OAK ST, COLVILLE, WA 99114-2948
(509) 684-1104
Mailing address
234 N OAK ST, COLVILLE, WA 99114-2948
(509) 684-1104
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
NT00000717
WA
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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