Individual
CONSUELO SANDOVAL RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 RUFFIN RD STE 295, SAN DIEGO, CA 92123-1834
(760) 842-6202
Mailing address
4180 RUFFIN RD STE 295, SAN DIEGO, CA 92123-1834
(760) 842-6202
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/24/2023
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