Individual provider · NPI-1

Sandra Renee Albert

Technician/Technologist, Contact Lens Fitter · Salem, OR

NPI number1457447930
StatusActive
Last updated in NPPESJul 16, 2007

Details

NPI
1457447930
Entity type
Individual (NPI-1)
Name
Sandra Renee Albert
Sex
Female
Sole proprietor
No
Enumeration date
Oct 4, 2006
Last updated
Jul 16, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FC0801X Technician/Technologist, Contact Lens Fitter––Yes

Practice location

5125 Skyline Rd Se
Salem, OR 97306

Phone 503-588-5996 · Fax 503-588-6576

Mailing address

5125 Skyline Rd S
Salem, OR 97306-9427

Phone 503-588-5996

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