Individual
JESSICA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(877) 809-5092
Mailing address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(877) 809-5092
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AZ
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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