Individual
MS. AMANDA E SANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.P.M., L.M.
Contact information
Practice address
18201 S HIGHWAY 28, LA MESA, NM 88044-9471
(715) 574-3690
Mailing address
18201 S HIGHWAY 28, LA MESA, NM 88044-9471
(715) 574-3690
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
10071R
NM
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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