Individual
MR. GERARDO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTS
Contact information
Practice address
10426 SAN CARLOS AVE, SOUTH GATE, CA 90280-6539
(323) 633-4095
Mailing address
10426 SAN CARLOS AVE, SOUTH GATE, CA 90280-6539
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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