Individual
AMANDA ROSE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, RNFA
Contact information
Practice address
5176 HILL RD E, LAKEPORT, CA 95453-6300
(707) 262-5000
Mailing address
15311 GARDEN BAR RD, GRASS VALLEY, CA 95949-8154
(530) 906-2930
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
95215585
CA
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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