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Individual

SANDRA MIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
1211 N DUPONT ST, WILMINGTON, DE 19806-4015
(302) 543-5978

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0018288
DE

Other

Enumeration date
09/09/2008
Last updated
09/09/2008
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