Teresa Sandoval Gonzalez

NPI #1942603618 in Walla Walla, Washington

Provider Information

NPI Number: 1942603618
Entity Type: Individual
Name: Teresa Sandoval Gonzalez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: 2316 EASTGATE ST
Address 2: #110
City: Walla Walla
State: Washington
ZIP Code: 99362-2554
Phone: (509) 527-1156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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