Individual
MS. MARY ANN SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-5285
Mailing address
331 SANTA ANA AVE, LONG BEACH, CA 90803-1944
(562) 433-5999
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
288254
CA
363LA2100X
Acute Care Nurse Practitioner
3529
CA
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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