Individual
MRS. SANDRA JOY VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N 9TH ST, MODESTO, CA 95350-5814
(209) 525-7412
(209) 558-4371
Mailing address
3504 HAVENWOOD WAY, CERES, CA 95307-9390
(209) 204-5874
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
06/02/2025
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