Individual
STAVONNE SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6342 W VALENCIA DR, LAVEEN, AZ 85339-2775
(623) 221-6092
Mailing address
6342 W VALENCIA DR, LAVEEN, AZ 85339-2775
(623) 221-6092
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
AZ
253Z00000X
In Home Supportive Care Agency
—
AZ
343900000X
Non-emergency Medical Transport (VAN)
—
AZ
385H00000X
Respite Care
—
AZ
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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