Individual
VANESA P SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1005 21ST ST SE STE 9, RIO RANCHO, NM 87124-4030
(505) 994-1247
Mailing address
10900 TANZANITE DR NW, ALBUQUERQUE, NM 87114-1853
(505) 239-9644
(505) 896-2958
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT9295
NM
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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