Individual
BIANCA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11201 N TATUM BLVD, PHOENIX, AZ 85028-6036
(602) 689-0495
Mailing address
6822 N 31ST DR, PHOENIX, AZ 85017-1112
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
11109
AZ
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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