Individual
TOMAS SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPSW
Contact information
Practice address
610 N SILVER ST, SILVER CITY, NM 88061-6779
(575) 956-6131
(575) 956-4971
Mailing address
410 N RAILROAD ST, BAYARD, NM 88023-9622
(575) 590-3031
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1475
NM
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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