Individual
MRS. OLIVIA YVETTE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3437 JAMAICA BLVD S, LAKE HAVASU CITY, AZ 86406-5507
(928) 854-7280
Mailing address
3437 JAMAICA BLVD S, LAKE HAVASU CITY, AZ 86406-5507
(928) 854-7280
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
763853
CA
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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