Sandra Fenter, LMP Valid NPI
Individual provider · Specialist · Kent, WA
- NPI
- 1104379270
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- MA60526584 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2016-07-25
- Last updated
- 2016-07-25
Practice location
11126 Se 256th St, Suite O203
Kent, WA 98030-5633
(253) 777-4298