Individual
SYBIL LEE SANDOVAL
Active
Individual
SYBIL LEE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032256
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010032256CT03
BCBS
CT
01
—
032256
MEDICAL LICENSE
CT
Enumeration date
12/23/2005
Last updated
03/07/2023
Update your record
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