MARIANA SANDOVAL

PHOENIX, OR
NPI1194183111
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-04
Last Update Date2016-02-04
Business Address
-- MARIANA SANDOVAL
149 S MAIN ST
PHOENIX, OR 97535-6631
Phone number: 541-535-4133
Mailing Address
-- MARIANA SANDOVAL
2644 CARR ST
WHITE CITY, OR 97503-1104
Phone number: