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Organization

SUNRISE CLINICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA SANCHEZ CREDENTIALING (HUMAN RESOURCES)
(575) 472-4311
Entity
Organization

Contact information

Practice address
898 NM STATE HWY 304, VEGUITA, NM 87062
(505) 966-2400
Mailing address
898 NM STATE HWY 304, VEGUITA, NM 87062
(505) 966-2400

Taxonomy

Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
1041S0200X
School Social Worker
172V00000X
Community Health Worker
207Q00000X
Family Medicine Physician
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
93778562
NM
Enumeration date
08/10/2026
Last updated
08/10/2026
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