Individual
MRS. JANICE LUANNE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3001 SAINT ROSE PKWY, HENDERSON, NV 89052-3839
(702) 616-5600
Mailing address
5974 MOON GARDEN ST, LAS VEGAS, NV 89148-4529
(702) 561-3796
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
09/25/2019
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