Individual
STEPHANIE MICHELLE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4074
Mailing address
111 EATON CT, SAN BERNARDINO, CA 92408-4123
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A166781
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2018
Last updated
08/15/2024
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