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1164000642
JOANNA LACE SANDOVAL
CULVER CITY, CA
NPI
1164000642
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95209480)
Enumeration Date
2021-03-29
Last Update Date
2021-05-13
Business Address
JOANNA LACE SANDOVAL
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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Mailing Address
JOANNA LACE SANDOVAL
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
Copy
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