Individual
MR. JOSE ENRIQUE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4285 N RANCHO DR, LAS VEGAS, NV 89130-3446
(800) 550-2453
Mailing address
2812 E TONOPAH AVE, NORTH LAS VEGAS, NV 89030-7392
(702) 788-6429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/29/2020
Last updated
02/13/2025
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