Individual
VANASSA RAE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3601 S 6TH AVE, 7-11A, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
1449 E AVENIDA KINO, CASA GRANDE, AZ 85122-1032
(520) 225-9548
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP036723
AZ
Other
Enumeration date
07/10/2010
Last updated
07/10/2010
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