Individual
ADIEL OMAR SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 BIRCH ST SW, QUINCY, WA 98848-1907
(509) 393-0763
Mailing address
1100 BIRCH ST SW, QUINCY, WA 98848-1907
(509) 393-0763
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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