Individual
MS. SANDRA LEE SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1425 PORTER ST, FORT DETRICK, MD 21702-9211
(301) 619-4562
Mailing address
8285 BLACK HAW CT, FREDERICK, MD 21701-3277
(301) 694-0615
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN304637L
PA
Other
Enumeration date
11/03/2006
Last updated
07/08/2007
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