Individual
SANDRA R HOUSEHOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
918 3RD AVE, BEAVER FALLS, PA 15010-4613
(724) 846-8500
Mailing address
334 WILLOWBROOK DR, INDUSTRY, PA 15052-1914
(724) 495-3340
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN253118L
PA
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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