Provider Demographics
NPI:1285497776
Name:SANDERS, GERALINE RASBYETTE
Entity type:Individual
Prefix:
First Name:GERALINE
Middle Name:RASBYETTE
Last Name:SANDERS
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 1:1558 COLGIN ST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605-4822
Mailing Address - Country:US
Mailing Address - Phone:251-348-9610
Mailing Address - Fax:
Practice Address - Street 1:1558 COLGIN ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605-4822
Practice Address - Country:US
Practice Address - Phone:251-348-9610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion