Individual
SANDRA LEE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
10412 178TH AVE E, BONNEY LAKE, WA 98391-5143
(253) 334-4756
Mailing address
PO BOX 1091, SUMNER, WA 98390-0210
(253) 334-4756
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00111864
WA
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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