Individual
SANDY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20342 FLANAGAN ROAD, TRABUCO CANYON, CA 92679
(818) 582-8832
(818) 582-8836
Mailing address
13741 CLINTON ST SPC 74, GARDEN GROVE, CA 92843-4126
(714) 583-2182
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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