Individual
MARCO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1661 RAYMOND AVE, ANAHEIM, CA 92801
(714) 966-8612
Mailing address
11809 MAIDSTONE AVE, NORWALK, CA 90650-7936
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
09/10/2015
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