Provider Demographics
NPI:1255970919
Name:DUNCAN, SANDRA MARIA
Entity type:Individual
Prefix:MISS
First Name:SANDRA
Middle Name:MARIA
Last Name:DUNCAN
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 1:3751 NW 175TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-3829
Mailing Address - Country:US
Mailing Address - Phone:770-837-7524
Mailing Address - Fax:305-454-9683
Practice Address - Street 1:3751 NW 175TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-3829
Practice Address - Country:US
Practice Address - Phone:770-837-7524
Practice Address - Fax:305-454-9683
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-29
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty