Individual
MRS. LISA JEWELL SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2760 3RD ST, CERES, CA 95307-3220
(209) 556-5011
(209) 556-5095
Mailing address
2760 3RD ST, CERES, CA 95307-3220
(209) 556-5011
(209) 556-5095
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
704926
CA
Other
Enumeration date
11/07/2007
Last updated
11/07/2007
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