Individual
MICHELLE DIANE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14614 N KIERLAND BLVD STE N230, SCOTTSDALE, AZ 85254-2747
(480) 719-3271
Mailing address
4819 S DRAGOON DR, CHANDLER, AZ 85249-6043
(480) 861-8214
Taxonomy
Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
RN103623
AZ
Other
Enumeration date
05/16/2021
Last updated
05/16/2021
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