Individual
SAMANTHA R SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 E. LA CANADA BLVD, AVONDALE, AZ 85323
(623) 772-4400
Mailing address
11200 W CAMELBACK RD UNIT 153, PHOENIX, AZ 85037-5089
(626) 469-9137
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP15544
AZ
Other
Enumeration date
03/08/2024
Last updated
11/07/2024
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