Marylou Sandoval
Lactation Consultant
3536 W San Juan Ave
Phoenix
, Arizona 85019-4514
Marylou Sandoval
Lactation Consultant
3536 W San Juan Ave
Phoenix
, Arizona 85019-4514
(623) 980-0347
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About
Features
Specialties
- Lactation Consultant
Languages spoken
- English
Location
First Address
- Marylou Sandoval
- 3536 W San Juan Ave
- Phoenix, AZ
- Zip : 85019-4514
- Phone : (623) 980-0347
Second Address
- Marylou Sandoval
- 3536 W San Juan Ave
- Phoenix, AZ
- Zip : 85019-4514
- Phone : (623) 980-0347
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant | L-29114 | AZ |
National Provider Identifier
| NPI | 1073972915 |
|---|---|
| Provider Name | Marylou Sandoval |
| First Address | Phoenix, AZ 85019-4514 |
| Second Address | Phoenix, AZ 85019-4514 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2016 |
| Last Update Date | 22/02/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.