Individual
MR. RANDOLPH SANDOVAL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ASSOCIATES
Contact information
Practice address
1060 PINCAY DR, HENDERSON, NV 89015-2935
(702) 742-5146
(702) 476-4767
Mailing address
1060 PINCAY DR, HENDERSON, NV 89015-2935
(702) 742-5146
(702) 476-4767
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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