Individual
JACQUELINE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9650 KENWORTHY ST, EL PASO, TX 79924-6011
(915) 751-0967
Mailing address
445 FE JACKSON RD, SOCORRO, TX 79927-1291
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2140328
TX
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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