Individual
MRS. SHARLENE NICOLE SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ST RD 531 BLDG 1, TIERRA AMARILLA, NM 87575
(575) 588-7297
Mailing address
PO BOX 185, CHAMA, NM 87520-0185
(575) 756-8820
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4731
NM
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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