Individual
DOLORES CRUZ SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
40 E. MINARETS, PINEDALE, CA 93650
(559) 436-0482
Mailing address
40 E. MINARETS, PINEDALE, CA 93650
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
207226
CA
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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