Individual
MANUEL SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 WEDGEFIELD DR, EAGLE PASS, TX 78852-3835
(830) 387-1624
Mailing address
1845 WEDGEFIELD DR, EAGLE PASS, TX 78852-3835
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
04/11/2019
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