SHANNON STUYVESANT

ALBUQUERQUE, NM
NPI1104215961
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  A-62)
Enumeration Date2015-01-16
Last Update Date2015-01-16
Business Address
-- SHANNON STUYVESANT PTA
5123 JUAN TABO BLVD NE
ALBUQUERQUE, NM 87111-2672
Phone number: 505-292-3333
Mailing Address
-- SHANNON STUYVESANT PTA
5123 JUAN TABO BLVD NE
ALBUQUERQUE, NM 87111-2672
Phone number: 505-292-3333
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