Individual
MANDY MICHELLE STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-7041
Mailing address
4860 Y ST, SACRAMENTO, CA 95817-2307
(916) 734-7041
(916) 734-6695
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
559006
CA
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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