SHIRLEY KNACKSTEDT

LOS RANCHOS, NM
NPI1114908761
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  R39671/CNP00873)
Enumeration Date2005-11-10
Last Update Date2016-04-04
Business Address
-- SHIRLEY KNACKSTEDT CFNP
7218 4TH ST NW
LOS RANCHOS, NM 87107-6624
Phone number: 505-730-5603
Mailing Address
-- SHIRLEY KNACKSTEDT CFNP
7218 4TH ST NW
LOS RANCHOS, NM 87107-6624
Phone number: 505-730-5603
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