Individual
KAITLIN SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6800 E MAYO BLVD APT 9312, PHOENIX, AZ 85054-5652
(302) 943-3419
Mailing address
6800 E MAYO BLVD APT 9312, PHOENIX, AZ 85054-5652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0066423
DE
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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