LISA ELLEN SANDOVAL

ROSWELL, NM
NPI1689601924
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  186)
Enumeration Date2006-06-26
Last Update Date2007-07-08
Business Address
Mrs. LISA ELLEN SANDOVAL ATC
500 W HOBBS ST
ROSWELL, NM 88203-1834
Phone number: 505-637-3200
Mailing Address
Mrs. LISA ELLEN SANDOVAL ATC
2803 PURDUE DR
ROSWELL, NM 88203-2375
Phone number: 505-625-1968