Individual
KRISTIN ALISA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20422 MACK AVE, GROSSE POINTE WOODS, MI 48236-1676
(313) 308-1033
(313) 308-1036
Mailing address
20422 MACK AVE, GROSSE POINTE WOODS, MI 48236-1676
(313) 308-1033
(313) 308-1036
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302040280
MI
Other
Enumeration date
02/16/2020
Last updated
02/16/2020
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