Individual
MARY ELLA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-0847
(225) 766-0218
Mailing address
4950 ESSEN LANE, BATON ROUGE, LA 70809-3482
(225) 767-0847
(225) 766-0218
Taxonomy
Speciality
Code
Description
License number
State
2085R0203X
Therapeutic Radiology Physician
Primary
013271
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1310867
—
LA
Enumeration date
07/20/2006
Last updated
11/24/2009
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