Individual
JOSE MANUEL MASON SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 770-8495
Mailing address
2420 MARTIN RD STE 200, FAIRFIELD, CA 94534-8610
(707) 770-8495
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/09/2025
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