Individual
CHRISTIE CANEDO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13500 N EL MIRAGE RD, EL MIRAGE, AZ 85335-2469
(623) 876-7204
Mailing address
15681 W MESCAL ST, SURPRISE, AZ 85379-4693
(623) 337-4338
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
132569
AZ
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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