Individual
ISABEL ATHENA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 W MARCH LN STE 2, STOCKTON, CA 95207-6422
(209) 808-8858
Mailing address
2105 W MARCH LN STE 2, STOCKTON, CA 95207-6422
(209) 808-8858
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/03/2025
Last updated
06/03/2025
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