Individual
MR. JAIME A SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN / RN
Contact information
Practice address
2407 VIBRANT OAK, SAN ANTONIO, TX 78232-2616
(210) 355-0453
Mailing address
2407 VIBRANT OAK, SAN ANTONIO, TX 78232-2616
(210) 355-0453
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1159404
TX
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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