Individual
MRS. CHRISTINA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 N STANTON ST, EL PASO, TX 79902-4122
(915) 532-4444
(915) 534-7626
Mailing address
1302 N STANTON ST, EL PASO, TX 79902-4122
(915) 532-4444
(915) 534-7626
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
CPED3465
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086614713
—
TX
Enumeration date
12/03/2014
Last updated
12/03/2014
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