Individual
SHANNON SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11401 MENAUL BLVD NE, ALBUQUERQUE, NM 87112-2435
(525) 526-3649
Mailing address
300 MENAUL BLVD NW STE A, ALBUQUERQUE, NM 87107-1347
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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