Individual
ANGELINA MARIE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3940 NORTH MARTIN LUTHER KING BLVD B106, NORTH LAS VEGAS, NV 89032
(702) 476-5058
Mailing address
6057 SIERRA LAKES ST, N LAS VEGAS, NV 89031-6853
(925) 577-9161
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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