| Mrs Ervina Bowannie Sandoval, MSCCC-SLP | |
|
10 North Sandy Spring Road, Zuni, NM 87327-0310 | |
| (505) 782-4443 | |
| (505) 782-2600 |
| Full Name | Mrs Ervina Bowannie Sandoval |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 10 North Sandy Spring Road, Zuni, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922135466 | NPI | - | NPPES |
| 73452068 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 3703 (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Ervina Bowannie Sandoval, MSCCC-SLP Po Box 310, 10 North Sandy Spring Road, Zuni, NM 87327-0310 Ph: (505) 782-4443 | Mrs Ervina Bowannie Sandoval, MSCCC-SLP 10 North Sandy Spring Road, Zuni, NM 87327-0310 Ph: (505) 782-4443 |
Mrs. Jennifer Diane Enote Becker, M.S.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22 Salt Lake Road, Dowa Yalanne Elementary, Zuni, NM 87327 Phone: 505-782-4441 Fax: 505-782-5879 |