Individual
LAZELL MARIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
455 K ST, CRESCENT CITY, CA 95531-4107
(707) 464-3191
Mailing address
455 K ST, CRESCENT CITY, CA 95531-4107
(707) 464-7224
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
R1617870625
CA
Other
Enumeration date
09/29/2023
Last updated
10/20/2025
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