Individual
LISA ANGEL SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 KOSTORYZ RD, CORPUS CHRISTI, TX 78415-5021
(361) 855-6121
Mailing address
4444 KOSTORYZ RD, CORPUS CHRISTI, TX 78415-5021
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
100083
TX
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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