MS. Shannon Elizabeth Sandoval, LPN
NPI #1912232521 in Taos, New Mexico
Provider Information
- NPI Number
- 1912232521
- Entity Type
- Individual
- Name
- MS. Shannon Elizabeth Sandoval, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Oct 15, 2009
- Last Updated
- Oct 15, 2009
Practice Location
- Address
- 413 SIPAPU ROAD
- Address 2
- # 6952
- City
- Taos
- State
- New Mexico
- ZIP Code
- 87571
- Phone
- (575) 758-5857
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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