Provider Information for 1033519640
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CHARLES SNIDER MA
Sex: Male
NPI: 1033519640
Last Updated: 2014-09-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1033519640 | ||||||||||||
| Enumeration Date | 2014-09-02 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 2315 N WELLESLEY DR BRADENTON, FL 34207-4765 United States Phone: 941-600-3864 | Fax: | ||||||||||||
| Primary Practice Address | 2315 N WELLESLEY DR BRADENTON, FL 34207-4765 United States Phone: 941-600-3864 | Fax: | ||||||||||||
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