MATTHEW ALAN SHADIS

SANTA FE, NM
NPI1275811739
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2011-08-01
Last Update Date2011-08-01
Business Address
Mr. MATTHEW ALAN SHADIS
2325 CERRILLOS RD
SANTA FE, NM 87505-3373
Phone number: 505-438-0010
Mailing Address
Mr. MATTHEW ALAN SHADIS
2325 CERRILLOS ROAD
SANTA FE, NM 87505
Phone number: 505-438-8488