SHINEY NATTAKOM

LAS CRUCES, NM
NPI1396739579
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: NM  20050080)
Enumeration Date2005-09-02
Last Update Date2011-07-19
Business Address
-- SHINEY NATTAKOM MD
166 ROADRUNNER PKWY SUITE 1B
LAS CRUCES, NM 88011-7044
Phone number: 575-522-2222
Mailing Address
-- SHINEY NATTAKOM MD
PO BOX 1560
LAS CRUCES, NM 88004-1560
Phone number: 505-647-8366