Provider Demographics
NPI:1538572474
Name:SAUNDERS, EULANDA (CRT, LMT)
Entity type:Individual
Prefix:
First Name:EULANDA
Middle Name:
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:CRT, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 409
Mailing Address - Street 2:
Mailing Address - City:MABSCOTT
Mailing Address - State:WV
Mailing Address - Zip Code:25871-0409
Mailing Address - Country:US
Mailing Address - Phone:304-731-5785
Mailing Address - Fax:
Practice Address - Street 1:3049 ROBERT C. BYRD DR.
Practice Address - Street 2:STE 340
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801
Practice Address - Country:US
Practice Address - Phone:304-731-5785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV2014-3197174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist