Provider Demographics
NPI:1811585763
Name:LEMONS, SABRINA FRANCES
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:FRANCES
Last Name:LEMONS
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 1:16700 MUSCATEL ST APT 14
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-5938
Mailing Address - Country:US
Mailing Address - Phone:818-267-7361
Mailing Address - Fax:888-370-3383
Practice Address - Street 1:16700 MUSCATEL ST APT 14
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-5938
Practice Address - Country:US
Practice Address - Phone:818-267-7361
Practice Address - Fax:888-370-3383
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA275052164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse