Robert Sandoval Sr.
Rehabilitation Practitioner in Las Vegas, NV. Individual provider (NPI-1).
NPI number1366735987
StatusActive
Last updated in NPPESMay 16, 2011
Details
- NPI
- 1366735987
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Sandoval Sr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 16, 2011
- Last updated
- May 16, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
3047 E Warm Springs Rd Bldg 2Las Vegas, NV 89120-3760
Phone 702-776-1080
Mailing address
8552 Stone Mill WayLas Vegas, NV 89123-3662
Phone 702-776-1080
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