All Medicaid billing entities listing SANDOVAL, THERESA (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Colorado | 1 | $500K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | INDIVIDUAL CANVAS LLC | PUEBLO, CO | Transportation Broker | $500K |