Individual
SANDRA MAE SWENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 E. PIONEER AVE., PUYALLUP, WA 98372
(253) 445-8120
(253) 697-3730
Mailing address
325 E PIONEER AVE, PUYALLUP, WA 98372-3265
(253) 445-8120
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301073554
MI
2084P0800X
Psychiatry Physician
Primary
MD00048030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4079420
—
MI
05
—
8494197
—
WA
Enumeration date
11/29/2005
Last updated
09/15/2010
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