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Individual
SARAH VAILLANCOURT
Active
Individual
SARAH VAILLANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201708786RN
OR
363L00000X
Nurse Practitioner
Primary
95010894
CA
363LW0102X
Women's Health Nurse Practitioner
95010894
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
OR
Other
Enumeration date
10/20/2017
Last updated
09/14/2026
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