Individual
TRINA SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9490 LOS COCHES CT, RIVERSIDE, CA 92508-6814
(951) 966-6515
(760) 724-0309
Mailing address
9490 LOS COCHES CT, RIVERSIDE, CA 92508-6814
(951) 966-6515
(760) 724-0309
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
374601272
CA
Other
Enumeration date
07/22/2016
Last updated
07/22/2016
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