MRS. Sandra Jean Wiegand

NPI #1386812766 in Peoria, Arizona

Provider Information

NPI Number: 1386812766
Entity Type: Individual
Name: MRS. Sandra Jean Wiegand
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 9035 W MARY ANN DR
City: Peoria
State: Arizona
ZIP Code: 85382-6459
Phone: (623) 692-1979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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