Doctor Name: | MRS. CARMEN ESTHER SANDOVALL |
NPI Number: | 1679879761 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 10151 |
Business Practice Address: | 107 H Street Poplar, MT - 592550000 |
Business Phone Number: | 4067683491 |
Business Fax Number: | |
Mailing Address: | Po Box 1224, POPLAR |
State: | MT |
Postal Code: | 592551224 |
Phone Number: | 4067682162 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2011 |
NPI Last Update Date: | 02/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | 10151 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |