Individual
MELISSA R SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
405 HUNTER ST, ESPANOLA, NM 87532-2656
(505) 367-3342
Mailing address
405 HUNTER ST, ESPANOLA, NM 87532-2656
(505) 367-3342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2692
NM
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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