Individual
ALAN WAYNE SANDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 E GRAND AVE, ESCONDIDO, CA 92025-4404
(760) 745-8478
Mailing address
737 E GRAND AVE, ESCONDIDO, CA 92025-4404
(760) 745-8478
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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