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Iveth Sandoval, MD
Student in an Organized Health Care Education/Training Program in San Joaquin, California
NPI 1366995458

Iveth Sandoval is a Student in an Organized Health Care Education/Training Program based in San Joaquin, CA. Iveth Sandoval practices in San Joaquin, CA and has the professional credentials of MD. The NPI Number for Iveth Sandoval is 1366995458 and holds a License No. (California).

The current practice location address for Iveth Sandoval is 21890 W Colorado Ave, San Joaquin, CA and can be reached out via phone at 559-456-5560.

Location: 21890 W Colorado Ave, San Joaquin, CA, 93660-0737
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366995458
Provider Name
Iveth Sandoval
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
21890 W Colorado Ave, San Joaquin, CA, 93660-0737
Phone Number
559-456-5560
Fax Number
Provider Enumeration Date
07/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
21890 W Colorado Ave
City
San Joaquin
State
California
Zip
93660-9773
Phone Number
559-456-5560
Fax Number
person
Provider Business Mailing Address Details
Address
21890 W Colorado Ave
City
San Joaquin
State
California
Zip
93660-9773
Phone Number
559-456-5560
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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