Individual
DR. JACOB P SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP/DNP
Contact information
Practice address
280 1ST ST, HOLLOMAN AFB, NM 88330-8273
(575) 572-4888
Mailing address
280 1ST ST BLDG 23, HOLLOMAN AFB, NM 88330-8273
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
60057
NM
Other
Enumeration date
03/05/2014
Last updated
11/16/2022
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