Brunsma Sandoval, Yolanda Jean
Brunsma Sandoval, Yolanda Jean is an sole proprietor health care provider with primary practice located at 4725 Candelaria Rd Ne Bel Air Es, Albuquerque NM 87110-1818. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brunsma Sandoval, Yolanda Jean can be contacted via phone (505) 888-4511.Contact Information
Primary practice address
4725 Candelaria Rd Ne Bel Air Es
Albuquerque NM 87110-1818
Phone: (505) 888-4511
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | M05654 | New Mexico |
Profile Details
| NPI number | 1306998505 |
|---|---|
| LBN Legal business name | Brunsma Sandoval, Yolanda Jean |
| Credentials | SW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Aug 28th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306998505 | NPPES |
| New Mexico | MEDICAID | 64320367 |
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