Individual
PHYLLIS M SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N.AUBURN, FARMINGTON, NM 87401
(505) 402-6886
Mailing address
210 N AUBURN AVE, FARMINGTON, NM 87401
(505) 402-6886
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/29/2013
Last updated
06/09/2025
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