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Individual

BETTY M SANABRIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12168 MOUNT VERNON AVE UNIT 25, GRAND TERRACE, CA 92313-5541
(909) 554-0733
Mailing address
12168 MOUNT VERNON AVE UNIT 25, GRAND TERRACE, CA 92313-5541
(909) 554-0733

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
09/16/2019
Last updated
09/16/2019
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