Search › Nevada › 104100000X
Icia Reid-Sandulak, BSW
NPI 1831384379 · on the registry since 2007
Practice
- Address
- 368 Placer Creek Ln
Henderson, NV 89014 - Phone
- (702) 369-0396
- Fax
- (702) 369-0396
- Organisation at this address
- Apple Grove Treatment Center
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-09-08
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 Nevada