SANDRA JACQUELINE LANDIVAR

STAMFORD, CT
NPI1881298156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: CT  10436)
Enumeration Date2020-11-26
Last Update Date2024-06-28
Business Address
SANDRA JACQUELINE LANDIVAR
170 WASHINGTON BLVD
STAMFORD, CT 06902-8904
Phone number: 203-276-2472
Mailing Address
SANDRA JACQUELINE LANDIVAR
170 WASHINGTON BLVD
STAMFORD, CT 06902-8904
Phone number: 203-276-2472