Individual
KIARA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 E NC HIGHWAY 54 STE 240360, DURHAM, NC 27713-2293
(919) 378-1340
Mailing address
5431 TALLEY ST, DURHAM, NC 27703-0718
(919) 561-3159
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004351
NC
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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