IndividualActive
Jesus Sandoval
NPI 1821742461 · Licensed Vocational Nurse · Scottsdale, AZ
Provider details
- NPI number
- 1821742461
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LP054802 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
617 N Scottsdale Rd Ste D
Scottsdale, AZ 85257-4207
Phone: (480) 990-3720
Approximate (ZIP-level) locationGet directions
Mailing address
2529 W Cactus Rd Apt 3014
Phoenix, AZ 85029-2588
Registry dates
- Enumerated
- 2022-02-11
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.