Individual
DONALD L SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
29 NESPELEM/SAN POIL ST, NESPELEM, WA 99155
(509) 364-2937
(509) 364-2990
Mailing address
PO BOX 1266, KETTLE FALLS, WA 99141-1266
(509) 634-2937
(509) 634-2990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1447
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100
—
WA
Enumeration date
07/04/2006
Last updated
07/08/2007
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