SearchWashington374U00000X

Sandra Brock

NPI 1396338240 · on the registry since 2021 · sole proprietor

Practice

Address
22415 N Perry Rd
Colbert, WA 99005
Phone
(509) 467-1584
Fax
(509) 467-1584
Clinicians at this address
2

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-02-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington