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Individual

SANDRA ANN VENUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
651 I ST, SACRAMENTO, CA 95814-2400
(916) 874-5656
Mailing address
651 I ST, SACRAMENTO, CA 95814-2400

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
491217
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
491217
RN
CA
Enumeration date
07/29/2006
Last updated
07/08/2007
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