Most Relevant Information
Provider Data
| NPI Number: | 1003649096 |
| Provider Name: | ALEXANDER WADE SANDOVAL RNFA |
| Entity Type: | Individual |
| Taxonomy Code: | 163WR0006X |
| Specialty: | Registered Nurse |
| License Number: | RN97838 |
Most Important Dates
| Enumeration Date: | 08/23/2024 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
1056 RICCO DR
SPARKS
NV
894346604
Practice Location Phone/Fax
| Phone: | 7753547888 |
| Fax: |
Provider Mailing Location
1056 RICCO DR
SPARKS
NV
894346604
Provider Mailing Phone/Fax
| Phone: | 7753547888 |
| Fax: |