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Jesus Sandoval
Family Nurse Practitioner in Riverside, California
NPI 1821684580

Jesus Sandoval is a Family Nurse Practitioner based in Riverside, CA and is specialized in Family. Jesus Sandoval practices in Riverside, CA. The NPI Number for Jesus Sandoval is 1821684580 and holds a License No. 95016256 (California).

The current practice location address for Jesus Sandoval is 4361 Latham St Ste 270, Riverside, CA and can be reached out via phone at 720-822-3645.

Location: 4361 Latham St Ste 270, Riverside, CA, 92501-4332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821684580
Provider Name
Jesus Sandoval
Credential
Provider Entity Type
Individual
Gender
Male
Address
4361 Latham St Ste 270, Riverside, CA, 92501-4332
Phone Number
720-822-3645
Fax Number
Provider Enumeration Date
12/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4361 Latham St Ste 270
City
Riverside
State
California
Zip
92501-4332
Phone Number
720-822-3645
Fax Number
person
Provider Business Mailing Address Details
Address
4361 Latham St Ste 270
City
Riverside
State
California
Zip
92501-4332
Phone Number
720-822-3645
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
95016256 (California)
Definition
Definition to come...
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