Individual
CESAR R SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
Primary
95271814
CA
Other
Enumeration date
07/17/2020
Last updated
05/10/2022
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