Most Relevant Information
Provider Data
| NPI Number: | 1003508219 |
| Provider Name: | STEPHANIE SANDOVAL |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/25/2023 |
| Last Updated: | 05/25/2023 |
Provider Practice Location
1504 GALENA ST
AURORA
CO
800102219
Practice Location Phone/Fax
| Phone: | 3036172300 |
| Fax: |
Provider Mailing Location
1290 CHAMBERS RD
AURORA
CO
800117117
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |