Individual
MRS. MARY WESLEY SANDERS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9295
Mailing address
700 24TH ST, FORT LEE, VA 23801-1716
(804) 734-9295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001038458
VA
Other
Enumeration date
10/24/2005
Last updated
07/08/2007
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