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Individual

MRS. SANDRA AKEMI NEALON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNFA

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
163WR0006X
CA
261QA1903X
Ambulatory Surgical Clinic/Center
261QA1903X
CA

Other

Enumeration date
10/20/2009
Last updated
10/20/2009
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