Individual
CODY JO SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
216 N CENTRE ST, DE KALB, TX 75559-1406
(903) 667-2273
Mailing address
216 N CENTRE ST, DE KALB, TX 75559-1406
(903) 667-2273
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
872128
TX
363LF0000X
Family Nurse Practitioner
Primary
1029700
TX
Other
Enumeration date
12/07/2020
Last updated
10/27/2021
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