MRS. Lisa Ellen Sandoval, ATC

NPI #1689601924 in Roswell, New Mexico

Provider Information

NPI Number
1689601924
Entity Type
Individual
Name
MRS. Lisa Ellen Sandoval, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Jun 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
500 W HOBBS ST
ZIP Code
88203-1834
Phone
(505) 637-3200

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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