Individual
SANDRA MICHELLE SUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6506
(505) 287-5393
Mailing address
1423 E ROOSEVELT AVE, GRANTS, NM 87020-2245
(505) 287-6506
(505) 287-5393
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
S1-1471
NM
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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