Individual
SANDRA ELIZABETH RAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD, CCC-A
Contact information
Practice address
1111 EXPOSITION BLVD, BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3404
(916) 233-4171
Mailing address
1111 EXPOSITION BLVD, BLDG 700, SACRAMENTO, CA 95815-4314
(916) 736-3404
(916) 233-4171
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
SR000207
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40-4683793
—
MI
01
—
640C710400
BCBS
MI
01
—
SR000207
STATE LICENSE NUMBER
MI
01
—
SR104555
ASHA NUMBER
MI
Enumeration date
08/28/2006
Last updated
02/09/2017
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