Provider Demographics
NPI:1992594725
Name:SANDOVAL, MELANIE STEPHANIE (CLD, CBE, CDT)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:STEPHANIE
Last Name:SANDOVAL
Suffix:
Gender:F
Credentials:CLD, CBE, CDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4530 CASTENON ST
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78416-1402
Mailing Address - Country:US
Mailing Address - Phone:832-284-3435
Mailing Address - Fax:
Practice Address - Street 1:4530 CASTENON ST
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78416-1402
Practice Address - Country:US
Practice Address - Phone:832-284-3435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula