Individual
MISS SANDRA SAN JUANITA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3602 COUNTY ROAD 45, ANGLETON, TX 77515-9575
(979) 864-2296
(979) 864-2377
Mailing address
3602 COUNTY ROAD 45, ANGLETON, TX 77515-9575
(979) 864-2296
(979) 864-2377
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2002
TX
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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