Individual
STEPHANI MARIE CERVERIZZO-SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
771 W BLAINE ST STE D, RIVERSIDE, CA 92507-3940
(951) 955-2233
Mailing address
771 W BLAINE ST STE D, RIVERSIDE, CA 92507-3940
(951) 955-2233
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-YNQAJE
CA
Other
Enumeration date
08/24/2023
Last updated
07/25/2024
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