Individual
AGUEDA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6825 SNAKE RIVER AVE, LAS VEGAS, NV 89130-1670
(702) 755-1450
Mailing address
6825 SNAKE RIVER AVE, LAS VEGAS, NV 89130-1670
(702) 755-1450
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000081712
—
NV
Enumeration date
06/08/2019
Last updated
06/08/2019
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