Individual
CHEYENNE E SANDOVAL-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1304 EPIC CT SE, RIO RANCHO, NM 87124-2809
(505) 267-2811
Mailing address
1304 EPIC CT SE, RIO RANCHO, NM 87124-2809
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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