Jewel Sanford

NPI #1053110213 in La Vista, Nebraska

Provider Information

NPI Number: 1053110213
Entity Type: Individual
Name: Jewel Sanford
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Mar 11, 2025
Last Updated: Mar 11, 2025

Practice Location

Address: 9430 GRANVILLE PKWY
City: La Vista
State: Nebraska
ZIP Code: 68128-2991
Phone: (402) 714-8515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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