Individual
MS. SANDRA ARLEEN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 E GRANVILLE ST, WINDSOR, NC 27983-6753
(252) 484-5064
Mailing address
1432 S KING ST, WINDSOR, NC 27983-9665
(252) 484-5064
(252) 484-1297
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-3340695
—
NC
Enumeration date
02/17/2022
Last updated
02/17/2022
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