| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MONIQUE SIMONE SANDERS | 1649846205 | 2021-07-12 |
Monique Simone Sanders is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649846205. Registration indicates Monique Simone Sanders is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Monique Simone Sanders MT |
| Practice Office Address | 4007 SHELDON ST SE ALBUQUERQUE, NM US |
| Practice Office Telephone | 5053012911 |
| Mailing Address | 4007 SHELDON ST SE ALBUQUERQUE, NM 871050651 US |
| Business Telephone | 5053012911 |
| WORK EMAIL ADDRESS [HTML] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MT9274
NM |
| 193400000X SING | Group Code |