Individual
DAVID SEYEDSADR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CAMINO ORO CT, TIJERAS, NM 87059-7924
(505) 274-8534
(855) 610-2330
Mailing address
90 MCGINNIS RD, TIJERAS, NM 87059-7925
(859) 312-5506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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