Individual
SARA B SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5927
(505) 867-2383
(505) 867-7293
Mailing address
7120 MOJAVE ST NW, ALBUQUERQUE, NM 87120-2929
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
LSAA - 00099901
NM
Other
Enumeration date
08/29/2007
Last updated
05/02/2008
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