Individual
MRS. JAMIE L VANDER SANDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
315 E MAIN ST, HORTONVILLE, WI 54944-0301
(920) 450-1655
Mailing address
315 E MAIN ST, HORTONVILLE, WI 54944-0301
(920) 450-1655
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4374
WI
Other
Enumeration date
01/10/2008
Last updated
07/10/2020
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