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Individual

WILLIAM SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7310 RITCHIE HWY STE 315, GLEN BURNIE, MD 21061-3089
(443) 494-9766
(443) 494-9766
Mailing address
7310 RITCHIE HWY STE 315, GLEN BURNIE, MD 21061-3089
(443) 494-9766

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
175T00000X
Peer Specialist
Primary
251V00000X
Voluntary or Charitable Agency
374K00000X
Religious Nonmedical Practitioner

Other

Enumeration date
06/10/2017
Last updated
06/10/2017
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