Individual
MS. SANDRA DENNIESE STOVALL-WILSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
190 SIERRA CT, SUITE B217, PALMDALE, CA 93550-7607
(661) 273-3755
(661) 273-3755
Mailing address
190 SIERRA CT, SUITE B217, PALMDALE, CA 93550-7607
(661) 273-3755
(661) 273-3755
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
152808
CA
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/15/2005
Last updated
09/11/2025
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