MEMPHIS CHARDELL SANDOVAL

MUNCIE, IN
NPI1720692494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: IN  71014109A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: MI  4704299093)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MI  4704299093)
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NV  863235)
Enumeration Date2020-09-01
Last Update Date2024-03-13
Business Address
MEMPHIS CHARDELL SANDOVAL NP
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928
Mailing Address
MEMPHIS CHARDELL SANDOVAL NP
240 N TILLOTSON AVE
MUNCIE, IN 47304-3988
Phone number: 765-288-1928