Sandra Addari
Family Medicine in Las Cruces, NM. Individual provider (NPI-1).
NPI number1174635791
StatusActive
Last updated in NPPESSep 16, 2016
Details
- NPI
- 1174635791
- Entity type
- Individual (NPI-1)
- Name
- Sandra Addari
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Sep 16, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD2006-0554 | NM | Yes |
Practice location
2465 S Telshor BlvdLas Cruces, NM 88011-5049
Phone 505-532-6061 · Fax 505-532-6063
Mailing address
3100 Schofield RdBldg 1179
Fort Sam Houston, TX 78234-7577
Phone 210-808-2411
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