Individual
JESSY SANDOVAL-BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 829-7271
Mailing address
245 S 8TH ST, PHILADELPHIA, PA 19106-3520
(215) 829-7271
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
MD056900L
PA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD056900L
PA
Other
Enumeration date
04/11/2008
Last updated
02/22/2019
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