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Individual

JAROD SANFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3050 SATURN ST, BREA, CA 92821-6221
(657) 444-9002
Mailing address
3050 SATURN ST, BREA, CA 92821-6221

Taxonomy

Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
251C00000X
Developmentally Disabled Services Day Training Agency
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/13/2021
Last updated
05/13/2021
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