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Individual

SAMUEL SANCHEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCSS

Contact information

Practice address
614 BECKER AVE, BELEN, NM 87002-3634
(575) 835-4357
(505) 514-0732
Mailing address
817 DESI LOOP, BELEN, NM 87002-8068
(575) 835-4357
(505) 514-0732

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
08/15/2022
Last updated
08/15/2022
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