Individual
ALVIC SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11179 ANTONINE WALL CT, LAS VEGAS, NV 89141-4338
(702) 405-9596
Mailing address
11179 ANTONINE WALL CT, LAS VEGAS, NV 89141-4338
(702) 405-9596
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
886034
NV
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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