Individual
DR. CARLOS SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2860 CERRILLOS RD STE C2, SANTA FE, NM 87507-2326
(505) 772-0114
Mailing address
1117 HARRISON RD, SANTA FE, NM 87507-3290
(505) 603-4467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC2195
NM
Other
Enumeration date
01/03/2019
Last updated
01/28/2019
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