Individual
JORGE ANDRES SANDOVAL MARISCAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4283 EL CAJON BLVD STE 100, SAN DIEGO, CA 92105-1289
(619) 521-1743
Mailing address
4283 EL CAJON BLVD STE 100, SAN DIEGO, CA 92105-1289
(619) 521-1743
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
CA
Other
Enumeration date
07/02/2024
Last updated
04/02/2025
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