Individual
ANNA ALYSE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
(618) 317-1063
Mailing address
520 VALLEY VIEW DR, MOLINE, IL 61265-6152
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005225
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/14/2014
Last updated
03/05/2026
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