Individual
MS. EVITA E. SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
569 MAIN STREET, LYNDONVILLE, VT 05851
(802) 626-4224
(802) 626-5042
Mailing address
PO BOX 1346, LYNDONVILLE, VT 05851
(802) 626-4224
(802) 626-5042
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000163
VT
Other
Enumeration date
08/27/2009
Last updated
05/03/2016
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