Individual
ALBERT JEREMY SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 N HUDSON ST, SILVER CITY, NM 88061-5516
(575) 597-0211
Mailing address
PO BOX 2000, SILVER CITY, NM 88062-2000
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
20778
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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