Individual
SANJANIQUE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
PO BOX 141, WALDORF, MD 20604-0141
(720) 917-4208
Mailing address
PO BOX 141, WALDORF, MD 20604-0141
(720) 917-4208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
204457
CO
Other
Enumeration date
06/30/2025
Last updated
06/30/2025
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