Individual
MRS. STACEY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COMMUNITY HEALTH WOR
Contact information
Practice address
1951 OAK ST., NILES, MI 49120
(269) 262-4749
(269) 262-4739
Mailing address
261 M 62, CASSOPOLIS, MI 49031
(269) 445-3874
(269) 445-1930
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
01/24/2024
Last updated
03/12/2026
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