Individual
CARLOS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
204 S 60TH AVE, YAKIMA, WA 98908-3502
(509) 972-1420
Mailing address
PO BOX 8331, YAKIMA, WA 98908-0331
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
RC00052209
WA
Other
Enumeration date
03/16/2007
Last updated
04/28/2008
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