Organization
DOMINIQUE SANDERS NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE SANDERS (PMHNP-BC)
(725) 234-2215
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(725) 234-2215
(281) 954-0056
Mailing address
9431 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730-5879
(725) 234-2215
(281) 954-0056
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
09/14/2021
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