NPI 1487461554

Deborah Rae Sandoval

Practitioner Contractor Elkhorn, NE

Practice location

Address: 4304 N 218th Plz, Elkhorn, NE 68022-3364
Phone: (402) 250-0656
Mailing address: PO Box 672, Elkhorn, NE 68022-0672

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1487461554
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2024
Record last updated: 12 Dec 2024

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.