Jennifer Sandoval in Isleta - Addiction (substance Use Disorder)

Jennifer Sandoval - NPI 1649265711

Jennifer Sandoval is a Addiction (substance Use Disorder) in Isleta, New Mexico. Jennifer Sandoval practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Jennifer Sandoval is 1649265711. The last update date is 2012-05-16.

Jennifer Sandoval's current location address is Po Box 640, Isleta, New Mexico. You can contact this provider via phone number 5058695474 and fax number 5058694584. The mailing address for Jennifer Sandoval is Po Box 640, Isleta, New Mexico. To know further, please read the information below!

Provider Profile Detail

Provider Name Jennifer Sandoval
Address Po Box 640, Isleta, New Mexico
Phone Number 5058695474
Fax Number 5058694584
Sole Proprietor N
Credentials LADAC

NPI Number Detail

NPI Number 1649265711
Provider Enumeration Date 2005-09-15
Last Updated Date 2012-05-16

Provider Mailing Address Detail

Address Po Box 640
City Isleta
State New Mexico (NM)
Post Code 87022
Phone Number 5058695474
Fax Number 5058694584

Provider's Primary Taxonomy Detail

Speciality Addiction (substance Use Disorder)
Taxonomy 101Ya0400X
Licence No 3850
Definition:
A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions.

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FAQs about Jennifer Sandoval

What is the unique identification code assigned to Jennifer Sandoval by the Centers for Medicare & Medicaid Services?

The Jennifer Sandoval has been issued the NPI (National Provider Identifier) 1649265711. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Jennifer Sandoval is physically located?

The Jennifer Sandoval is situated at the following address: Po Box 640, Isleta, NM 87022.

What is Jennifer Sandoval's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jennifer Sandoval is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.

On what date was the 1649265711 assigned to Jennifer Sandoval?

The Jennifer Sandoval was issued its 1649265711 on 2005-09-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Jennifer Sandoval most recently updated or revised?

The details related to Jennifer Sandoval, including its address, specialty, and other relevant information, were last updated or revised on 2012-05-16.

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