Charise R. Sandoval

NPI #1376739482 in Sahuarita, Arizona

Provider Information

NPI Number: 1376739482
Entity Type: Individual
Name: Charise R. Sandoval
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 14803 S AVENIDA CUCANA
City: Sahuarita
State: Arizona
ZIP Code: 85629-8622
Phone: (520) 398-4528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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