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Nichole Sandoval
Health Service Clinic/Center in Lincoln Park, Michigan
NPI 1619477866

Nichole Sandoval is a Health Service Clinic/Center based in Lincoln Park, MI and is specialized in Health Service. Nichole Sandoval practices in Lincoln Park, MI. The NPI Number for Nichole Sandoval is 1619477866 and holds a License No. (Michigan).

The current practice location address for Nichole Sandoval is 1427 Pingree Ave, Lincoln Park, MI and can be reached out via phone at 313-784-7489.

Location: 1427 Pingree Ave, Lincoln Park, MI, 48146-2094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619477866
Provider Name
Nichole Sandoval
Credential
Provider Entity Type
Individual
Gender
Female
Address
1427 Pingree Ave, Lincoln Park, MI, 48146-2094
Phone Number
313-784-7489
Fax Number
Provider Enumeration Date
02/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1427 Pingree Ave
City
Lincoln Park
State
Michigan
Zip
48146-2094
Phone Number
313-784-7489
Fax Number
person
Provider Business Mailing Address Details
Address
1427 Pingree Ave
City
Lincoln Park
State
Michigan
Zip
48146-2094
Phone Number
313-784-7489
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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