Individual
TAMMY SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 E CHESTNUT AVE, ALTOONA, PA 16601-5215
(814) 946-5411
Mailing address
589 BOTTOM RD, ASHVILLE, PA 16613-6704
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN577454
PA
Other
Enumeration date
07/19/2018
Last updated
07/19/2018
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