Individual
CARLOS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25028 104TH AVE SE, KENT, WA 98030-9310
(206) 764-8019
Mailing address
102 S HARRISON ST, TACOMA, WA 98418-7908
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WA
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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