SAMIR ANTONIO SANDOVAL

LINCOLN, NE
NPI1649080680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747A0650X Technician, Attendant Care Provider
Enumeration Date2025-01-11
Last Update Date2025-01-11
Business Address
Mr. SAMIR ANTONIO SANDOVAL
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-298-0634
Mailing Address
Mr. SAMIR ANTONIO SANDOVAL
5905 O ST
LINCOLN, NE 68510-2235
Phone number: 402-298-0634
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