Individual
TOMANDA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2105 CENTRAL AVE NW, ALBUQUERQUE, NM 87104-1605
(505) 242-2713
Mailing address
3150 GUN CLUB RD SW, ALBUQUERQUE, NM 87121-6228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP00010255
NM
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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