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Individual

SANDI C NAGATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPM

Contact information

Practice address
3500 188TH ST SW, SUITE 110, LYNNWOOD, WA 98037-4716
(425) 778-5666
(425) 771-5374
Mailing address
3500 188TH ST SW, SUITE 110, LYNNWOOD, WA 98037-4716
(425) 778-5666
(425) 771-5374

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
E4926
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
LL9523
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60335854
WA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005993
PA

Other

Enumeration date
01/23/2009
Last updated
11/24/2014
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