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Individual

MELISSA TALBERT SANFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
201 N OLIVE AVE, ALHAMBRA, CA 91801-2237
(210) 621-4093
Mailing address
201 N OLIVE AVE, ALHAMBRA, CA 91801-2237
(210) 621-4093

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
A119346
CA
208800000X
Urology Physician
R4875
TX
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
R4875
TX

Other

Enumeration date
04/14/2010
Last updated
12/02/2021
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