Provider Demographics
NPI:1366490385
Name:FENCHEL JONES, SANDRA LYNN (ND, DOM)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LYNN
Last Name:FENCHEL JONES
Suffix:
Gender:F
Credentials:ND, DOM
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:LYNN
Other - Last Name:FENCHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ND, DOM
Mailing Address - Street 1:810 DALRYMPLE RD.
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88007
Mailing Address - Country:US
Mailing Address - Phone:575-523-8517
Mailing Address - Fax:575-904-7287
Practice Address - Street 1:810 DALRYMPLE RD.
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88007
Practice Address - Country:US
Practice Address - Phone:575-523-8517
Practice Address - Fax:575-904-7287
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDOM1231171100000X, 171100000X
NMND-0008175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Yes175F00000XOther Service ProvidersNaturopath