Individual
SANDRA TOMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3416 KRAMERS LN TRLR 64, LOUISVILLE, KY 40216-4665
(203) 857-9481
Mailing address
3416 KRAMERS LN TRLR 64, LOUISVILLE, KY 40216-4665
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
P94604939
KY
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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