Individual
TERRI MAE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNS-N, MSN, RN
Contact information
Practice address
2295 S VINEYARD AVE, ONTARIO, CA 91761-7925
(951) 662-6256
Mailing address
16729 STALLION PL, RIVERSIDE, CA 92504-5843
(951) 662-6256
Taxonomy
Speciality
Code
Description
License number
State
364SN0000X
Neonatal Clinical Nurse Specialist
Primary
5114
CA
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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