Individual
ROSALVA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1149 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 468-2335
Mailing address
1149 N EL DORADO ST, STOCKTON, CA 95202-1305
(209) 468-2335
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-TKYRLJ
CA
Other
Enumeration date
09/30/2010
Last updated
10/30/2023
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