Individual
HILLARY SANDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
734 10TH AVE, SAN DIEGO, CA 92101-6502
(619) 239-6192
Mailing address
734 10TH AVE, SAN DIEGO, CA 92101-6502
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
686717
CA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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