Individual
MARIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1316 APACHE AVE, SANTA FE, NM 87505-3212
(505) 316-6914
Mailing address
1316 APACHE AVE, SANTA FE, NM 87505-3212
(505) 316-6914
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
NM
Other
Enumeration date
03/16/2026
Last updated
03/16/2026
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