Individual
ALEXIS HECTOR SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 E MARTIN LN, TOPPENISH, WA 98948-9308
(509) 654-5329
Mailing address
440 E MARTIN LN, TOPPENISH, WA 98948-9308
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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