Individual
SUZETTE L SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
5323 MENAUL ST NE, ALBUQUERQUE, NM 87176
(505) 889-3412
Mailing address
1735 GRIEGOS RD NW, ALBUQUERQUE, NM 87107-3336
(505) 228-4619
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
279940
NM
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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