Individual
DEMI JOSEPHINE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(323) 725-1337
Mailing address
1436 GOODRICH BLVD, COMMERCE, CA 90022-5111
(323) 725-1337
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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