SearchNew Mexico103TS0200X

Sandy Etigson

NPI 1841404605 · on the registry since 2007

Practice

Address
249 White Mountain Dr
Mescalero, NM 88340
Phone
(505) 464-4431
Fax
(505) 464-4822
Organisation at this address
Mescalero
La Frontera Center Inc. Dba La Frontera New Mexico, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico