SANNE F VAN SWOL

RUIDOSO, NM
NPI1609417666
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2019-0073)
Enumeration Date2019-10-01
Last Update Date2022-02-18
Business Address
SANNE F VAN SWOL PA-C
211 SUDDERTH DR
RUIDOSO, NM 88345-6002
Phone number: 575-257-8200
Mailing Address
SANNE F VAN SWOL PA-C
PO BOX 26666 PHS PROVIDER ENROLLMENT
ALBUQUERQUE, NM 87125-6666
Phone number: 505-923-6770