NPI | 1720063548 |
---|---|
Former Name | SHERRY SANDSTEDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 30335) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034520) |
Enumeration Date | 2005-12-14 |
Last Update Date | 2013-11-08 |