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Search › California › 374U00000X

Sandra Stovall-Wilson, L.V.N

NPI 1811996515 · on the registry since 2005

Practice

Address
190 Sierra Ct
Suite B217
Palmdale, CA 93550
Phone
(661) 273-3755
Fax
(661) 273-3755
Organisation at this address
Penny Lane
Ucfusion Rx Llc
Av Saferide Llc.
Active Life, Llc
Pure Devotion Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
121

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
164X00000X
3747P1801X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California