Individual
KATIE MARIE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
602 W SEMANS ST, CONROE, TX 77301
(936) 756-5598
Mailing address
2830 ARICA LN, SPRING, TX 77373-3506
(562) 373-8227
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
326525
TX
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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