Provider Demographics
NPI:1033976527
Name:SANDS, STEPHANIE T
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:T
Last Name:SANDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273 SAINT THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91377-5549
Mailing Address - Country:US
Mailing Address - Phone:818-304-4377
Mailing Address - Fax:
Practice Address - Street 1:273 SAINT THOMAS DR
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:CA
Practice Address - Zip Code:91377-5549
Practice Address - Country:US
Practice Address - Phone:818-304-4377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-01
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula