Individual
CAMILA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(505) 266-5565
Mailing address
1500 N RENAISSANCE BLVD NE STE C, ALBUQUERQUE, NM 87107-7002
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA200001496
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2021
Last updated
12/15/2022
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