Individual
JACQUELINE MARIE SANDOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7311 E SOUTHERN AVE APT 3032, MESA, AZ 85209-2720
(160) 257-5774
Mailing address
7311 E SOUTHERN AVE APT 3032, MESA, AZ 85209-2720
(160) 257-5774
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
008558
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008850
RESPIRATORY
AZ
01
—
008850
RESPIRATORY
—
Enumeration date
05/19/2020
Last updated
05/19/2020
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