Individual
SANDRA THERESA PABST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
305 TECUMSEH WAY, HAVRE DE GRACE, MD 21078-2870
(443) 756-9999
Mailing address
305 TECUMSEH WAY, HAVRE DE GRACE, MD 21078-2870
(443) 756-9999
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R060225
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R060225
RN
MD
Enumeration date
05/12/2020
Last updated
05/12/2020
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