Individual
SANDRA OLIVIA KHUMALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 S. ORACLE, SUITE 18B - BUILDING 4, MESA, AZ 85204
(623) 326-5719
(620) 647-4819
Mailing address
1818 E SOUTHERN AVE STE 18B, MESA, AZ 85204-5255
(623) 326-5719
(620) 647-4819
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OTC23011
AZ
Other
Enumeration date
01/27/2026
Last updated
01/30/2026
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