Deborah Rae Sandoval

NPI #1487461554 in Elkhorn, Nebraska

Provider Information

NPI Number: 1487461554
Entity Type: Individual
Name: Deborah Rae Sandoval
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Dec 12, 2024
Last Updated: Dec 12, 2024

Practice Location

Address: 4304 N 218TH PLZ
City: Elkhorn
State: Nebraska
ZIP Code: 68022-3364
Phone: (402) 250-0656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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