Individual
MRS. SANDRA LEE BAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7070 W HEATHERBRAE DR, PHOENIX, AZ 85033-2620
(623) 691-5200
(623) 691-5220
Mailing address
7070 W HEATHERBRAE DR, PHOENIX, AZ 85033-2620
(623) 691-5200
(623) 691-5220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP037568
AZ
Other
Enumeration date
05/28/2009
Last updated
05/28/2009
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