Individual
ANDREA JESUS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 8TH ST S RM 115, SAINT CLOUD, MN 56301-4423
(320) 308-3830
Mailing address
6084 BADGER ST, MONTICELLO, MN 55362-4502
(763) 954-0748
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2024
Last updated
11/13/2024
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