Individual
RAFAEL SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
19300 NADAL ST, CANYON COUNTRY, CA 91351-1253
(661) 252-6110
Mailing address
491 FOOTHILL DR, FILLMORE, CA 93015-1031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
CA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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