Individual
MRS. GENNIFER NICOLE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1058 HOLLYBROOK DR, INEZ, TX 77968-3353
(361) 237-9271
Mailing address
1058 HOLLYBROOK DR, INEZ, TX 77968-3353
(361) 237-9271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
772637
TX
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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