Individual
INDIA LYNNE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC., L.M.B.T.
Contact information
Practice address
6768 GORDON RD, WILMINGTON, NC 28411-8464
(910) 547-3919
Mailing address
6768 GORDON RD, WILMINGTON, NC 28411-8464
(910) 547-3919
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
656
NC
225700000X
Massage Therapist
4127
NC
Other
Enumeration date
01/26/2013
Last updated
01/26/2013
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