Individual
VALERIE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 SAGUARO TRL, FARMINGTON, NM 87401-9632
(505) 598-6000
Mailing address
1008 N ORCHARD AVE, FARMINGTON, NM 87401-6097
(505) 324-9887
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0594
NM
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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