Anna Alyse Sandoval, PA

NPI #1992109326 in Moline, Illinois

Provider Information

NPI Number: 1992109326
Entity Type: Individual
Name: Anna Alyse Sandoval, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 14, 2014
Last Updated: Aug 30, 2021

Practice Location

Address: 520 VALLEY VIEW DR
City: Moline
State: Illinois
ZIP Code: 61265-6152
Phone: (618) 317-1063

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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