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Individual

EDWARD MICHAEL SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
1835 S. VETERANS BLVD, SUITE 4, EAGLE PASS, TX 78852
(830) 319-8816
Mailing address
2709 STONE HEDGE, EAGLE PASS, TX 78852-3239
(830) 319-8816

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT135526
TX

Other

Enumeration date
09/17/2021
Last updated
01/10/2023
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