Individual
BARBARA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 490-1439
Mailing address
2528 RIDGE RUNNER RD, LAS VEGAS, NM 87701-4971
(505) 490-1439
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-0262
NM
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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