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Individual

LISET SANDOVAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CSFA, LSA

Contact information

Practice address
5255 LOUGHBORO RD NW, WASHINGTON, DC 20016-2696
(202) 427-3565
Mailing address
6210 7TH ST NW, WASHINGTON, DC 20011-1206
(202) 427-3565

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary

Other

Enumeration date
12/30/2021
Last updated
12/30/2021
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