Individual
MR. RICARDO SANDOVAL I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2612 TEXAS ST NE, ALBUQUERQUE, NM 87110-4684
(505) 830-1871
Mailing address
8816 TRADEWIND RD NW, ALBUQUERQUE, NM 87121-7020
(505) 990-0626
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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