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Individual

MRS. ANGELA SANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
301 ROSCOE ST, LA HABRA, CA 90631-4244
(714) 319-4521
Mailing address
301 ROSCOE ST, LA HABRA, CA 90631-4244
(714) 319-4521

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
734023
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20247924
KAISER PERMANENTE
CA
Enumeration date
03/01/2019
Last updated
03/01/2019
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