Individual
MR. DAVID SANDOVAL LLANEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN PHN
Contact information
Practice address
1100 SAN LEANDRO BLVD FL 3, SAN LEANDRO, CA 94577-1595
(510) 667-3096
Mailing address
1100 SAN LEANDRO BLVD FL 3, SAN LEANDRO, CA 94577-1595
(510) 667-3096
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
561631
CA
163W00000X
Registered Nurse
Primary
95086159
CA
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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