| Doctor Name: | MRS. SALLY OBANDO |
| NPI Number: | 1003045089 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, BSN, LEC, RNC-MN |
| License Number: | R55569 |
| Business Practice Address: | 860 Flora St Barstow, CA - 923112625 |
| Business Phone Number: | 7602552369 |
| Business Fax Number: | |
| Mailing Address: | 860 Flora St, BARSTOW |
| State: | CA |
| Postal Code: | 923112625 |
| Phone Number: | 7602552369 |
| Fax Number: | |
| NPI Enumeration Date: | 07/10/2009 |
| NPI Last Update Date: | 07/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0102X |
| License Number: | R55569 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Maternal Newborn |
| Taxonomy Definition: | |