Individual
VIRIDIANA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPS
Contact information
Practice address
2665 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4138
(323) 800-2739
Mailing address
9117 PRISCILLA ST, DOWNEY, CA 90242-4628
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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