Individual
MR. DAVID ANTHONY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
403 BUNCOMBE ST, EDGEFIELD, SC 29824-1012
(803) 221-5367
Mailing address
403 BUNCOMBE ST, EDGEFIELD, SC 29824-1012
(803) 221-5367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224084
SC
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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