Individual
PATRICIA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
1500 E 25TH ST, FARMINGTON, NM 87401-9071
(505) 599-8612
Mailing address
3220 ENGLISH RD, FARMINGTON, NM 87402-8308
(505) 793-1237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
58046
NM
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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