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Individual

MARCOS SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
1485 GRAEBER STREET, BLDG 2300, MARCH ARB, CA 92518-1728
(951) 655-2773
Mailing address
5440 CHURCHWARD STREET, SAN DIEGO, CA 92114

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
558975
CA

Other

Enumeration date
08/29/2012
Last updated
08/29/2012
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