JAMES SANDOVAL

THOREAU, NM
NPI1124310982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101Y00000X Counselor
Enumeration Date2011-05-11
Last Update Date2011-05-11
Business Address
-- JAMES SANDOVAL none
.5 MILES EAST OF HWY 371
THOREAU, NM 87323
Phone number: 505-905-0061
Mailing Address
-- JAMES SANDOVAL none
PO BOX 1289
THOREAU, NM 87323-1289
Phone number: 505-905-0061