Individual
SANDA SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Mailing address
1709 MOON ST NE, ALBUQUERQUE, NM 87112-3935
(505) 271-0329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/28/2018
Last updated
10/23/2025
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