Individual
DESIRAE SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3400
Mailing address
2101 SILVER MAPLE WAY, LORAIN, OH 44053-2380
(440) 830-3400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
500502
OH
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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