Individual
SARA VANHAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SFIDC
Contact information
Practice address
34101 FARENHOLT AVE BLDG 14, SAN DIEGO, CA 92134-7000
(715) 323-0023
Mailing address
102525 MANN RD, MARSHFIELD, WI 54449-5941
(715) 323-0023
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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