Provider Demographics
NPI:1700067766
Name:ARMSTRONG, SANDY LYNN
Entity Type:Individual
Prefix:MISS
First Name:SANDY
Middle Name:LYNN
Last Name:ARMSTRONG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5844 E JEFFERSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93725-9705
Mailing Address - Country:US
Mailing Address - Phone:559-347-4994
Mailing Address - Fax:
Practice Address - Street 1:190 N VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93701-1672
Practice Address - Country:US
Practice Address - Phone:559-237-8337
Practice Address - Fax:559-237-8342
Is Sole Proprietor?:No
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist