Individual
MAGGIE R SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NMW
Contact information
Practice address
635 S WESTLAKE AVE, LOS ANGELES, CA 90057-3508
(213) 484-8987
(213) 484-8605
Mailing address
340 W ELM AVE, BURBANK, CA 91506-3318
(213) 484-8987
(213) 484-8605
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW01110
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NMW011100
—
CA
Enumeration date
03/02/2007
Last updated
07/09/2007
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