Individual
SHARON A SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST STE A, INDIO, CA 92201-3096
(760) 625-7992
Mailing address
44199 MONROE ST STE A, INDIO, CA 92201-3096
(760) 625-7992
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-JGIRQB
CA
Other
Enumeration date
11/08/2023
Last updated
07/16/2024
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