NPI 1376739482

Charise R. Sandoval

Practitioner Contractor Sahuarita, AZ

Practice location

Address: 14803 S Avenida Cucana, Sahuarita, AZ 85629-8622
Phone: (520) 398-4528

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 218323 (AZ)

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Registry record

NPI: 1376739482
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Sep 2007
Record last updated: 21 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.