Individual
GABRIELA ARELY SANDOVAL LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
915 E MARKET AVE, SEARCY, AR 72149-5615
(501) 279-5642
Mailing address
120 BRENTWOOD COMMONS WAY STE 510, BRENTWOOD, TN 37027-2028
(615) 377-5602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
11/04/2022
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