Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesus Sandoval

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164352522

Jesus Sandoval is a Student in an Organized Health Care Education/Training Program in Moscow, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

875 Perimeter Dr
Moscow, ID 83844-9803
Phone: (208) 885-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1164352522
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESMay 20, 2026
Certification dateMay 20, 2026
Mailing address1536 Northwood Dr Apt 29, Moscow, ID 83843-9386

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