Gina Marie Sandoval

NPI #1154823524 in Woodland, California

Provider Information

NPI Number: 1154823524
Entity Type: Individual
Name: Gina Marie Sandoval
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 1530 SQUAW VALLEY DR
City: Woodland
State: California
ZIP Code: 95776-6739
Phone: (650) 716-3067

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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