Individual
LAQUANDA P SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2401 BRISTOL CT SW, OLYMPIA, WA 98502-6003
(360) 751-2124
Mailing address
415 FIRE WILLOW ST NW, OLYMPIA, WA 98502-8179
(512) 992-3192
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP60889663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27461483
DL
TX
Enumeration date
08/23/2019
Last updated
05/28/2020
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