Individual
JAMIE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 489-1376
Mailing address
101 CIRBY HILLS DR, ROSEVILLE, CA 95678-4360
(916) 549-9311
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-PCIGVS
CA
Other
Enumeration date
07/29/2020
Last updated
06/28/2024
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