Individual
GRACE VICTORIA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2871 ACTON RD STE 101, VESTAVIA, AL 35243-2560
(205) 612-5009
Mailing address
2871 ACTON RD STE 101, VESTAVIA, AL 35243-2560
(205) 612-5009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-188215
AL
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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