SHANNON ELIZABETH SANDOVAL

TAOS, NM
NPI1912232521
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NM  L20200)
Enumeration Date2009-10-15
Last Update Date2009-10-15
Business Address
MS. SHANNON ELIZABETH SANDOVAL LPN
413 SIPAPU ROAD # 6952
TAOS, NM 87571
Phone number: 575-758-5857
Mailing Address
MS. SHANNON ELIZABETH SANDOVAL LPN
650 GUARA LANE
TAOS, NM 87571
Phone number: 575-758-2494
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