Search › New Mexico › 251T00000X
Gary Sandoval
NPI 1922786763 · on the registry since 2023 · sole proprietor
Practice
- Address
- 2111 Raven Ln Sw
Albuquerque, NM 87105 - Phone
- (505) 573-2721
- Organisation at this address
- Casa Del Valle 1
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 251T00000X
251T00000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-21
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