Individual
KARYN REGINA SANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 W BROADWAY ST STE 320, MISSOULA, MT 59802-4031
(406) 329-5615
(406) 329-2791
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MED-PAC-LIC-35994
MT
Other
Enumeration date
01/27/2014
Last updated
09/20/2017
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