Individual
IRMA LORENA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
(888) 743-7526
Mailing address
3772 TIBBETTS ST, RIVERSIDE, CA 92506-2605
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95016863
CA
Other
Enumeration date
04/23/2021
Last updated
03/27/2023
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