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Individual

MR. RICHARD LEE SANDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
450 BAUCHET ST, LOS ANGELES, CA 90012-2907
(213) 893-5391
Mailing address
450 BAUCHET ST., LOS ANGELES, CA 90012
(213) 893-5391

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
477428
CA

Other

Enumeration date
11/04/2008
Last updated
11/04/2008
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