IndividualActive
Deonadre Sanders
NPI 1053938910 · Other Specialist/Technologist · Gary, IN
Provider details
- NPI number
- 1053938910
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1100 W 6th Ave
Gary, IN 46402-1711
Phone: (219) 885-4264
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W 6th Ave
Gary, IN 46402-1711
Registry dates
- Enumerated
- 2020-06-26
- Last updated
- 2020-06-26
- Certified
- 2020-06-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.