Individual
LAURA FRANCES SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
860 OAK PARK BLVD STE 101, ARROYO GRANDE, CA 93420-1800
(805) 202-8245
(805) 202-8117
Mailing address
PO BOX 2505, PISMO BEACH, CA 93448-2505
(805) 202-8245
(805) 202-8117
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A15696
CA
Other
Enumeration date
06/17/2010
Last updated
10/09/2024
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