Individual
SANDRA RAE HANSBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15110 SIWINI RD # 132, FOREST RANCH, CA 95942-9664
(530) 521-9300
Mailing address
15110 SIWINI RD # 132, FOREST RANCH, CA 95942-9664
(530) 521-9300
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
20395
CA
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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