Individual
ALBERTO SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 EGRET LN, LOS BANOS, CA 93635-9477
(831) 207-0904
Mailing address
2830 EGRET LN, LOS BANOS, CA 93635-9477
(831) 207-0904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95014879
CA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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