Individual
DR. L VICTOR SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
700 S TELSHOR BLVD, STE 1534, LAS CRUCES, NM 88011-4669
(575) 522-8334
(575) 522-1065
Mailing address
700 S TELSHOR BLVD, STE 1534, LAS CRUCES, NM 88011-4669
(575) 522-8334
(575) 522-1065
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
260
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99429268
—
NM
Enumeration date
11/30/2005
Last updated
10/06/2011
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