Provider Demographics
NPI:1720719289
Name:SYMONDS, SHERRE L (CMF)
Entity Type:Individual
Prefix:
First Name:SHERRE
Middle Name:L
Last Name:SYMONDS
Suffix:
Gender:F
Credentials:CMF
Other - Prefix:
Other - First Name:SHERRE
Other - Middle Name:
Other - Last Name:CAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CMF
Mailing Address - Street 1:5535 CANCHA DE GOLF STE 101
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92091-9504
Mailing Address - Country:US
Mailing Address - Phone:858-759-6325
Mailing Address - Fax:858-759-6329
Practice Address - Street 1:5535 CANCHA DE GOLF STE 101
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA FE
Practice Address - State:CA
Practice Address - Zip Code:92091-9504
Practice Address - Country:US
Practice Address - Phone:858-759-6325
Practice Address - Fax:858-759-6329
Is Sole Proprietor?:No
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA01251224900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy Fitter