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Contact Information

MARIVEL SANDOVAL, PA-C
803 E LINCOLN AVE
SUNNYSIDE, WA98944
 Phone: 509-837-3933
 Fax: 809-837-3885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARIVEL SANDOVAL · (Female)

NPI Number 1326115742
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/29/2006
Last updated 10/26/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WA License # PA10003955
  • WA Medicaid 8325193
Hospital affiliation(s)
  • PROSSER MEMORIAL HOSPITAL - (Critical Access)
    723 MEMORIAL STREET
    PROSSER, WA 99350
  • SUNNYSIDE COMMUNITY HOSPITAL - (Critical Access)
    1016 TACOMA AVENUE
    SUNNYSIDE, WA 98944
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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