Individual
ERICK JOEL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
184 WIND CHIME CT STE 103, RALEIGH, NC 27615-6485
(984) 389-8330
Mailing address
116 MYSTIC QUARTZ LN, HOLLY SPRINGS, NC 27540-6460
(617) 281-2480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5015336
NC
363LA2200X
Adult Health Nurse Practitioner
5015336
NC
Other
Enumeration date
11/09/2021
Last updated
07/13/2022
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