Individual
LILIANA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
7370 PHIL HANSEN DR, CANUTILLO, TX 79835-6480
(915) 760-3505
Mailing address
7370 PHIL HANSEN DR, CANUTILLO, TX 79835-6480
(915) 760-3505
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
351327
TX
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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