SHANE BENALLY

SANTO DOMINGO PUEBLO, NM
NPI1588387294
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100585)
Enumeration Date2022-09-19
Last Update Date2025-07-22
Business Address
SHANE BENALLY OD
85 W HIGHWAY 22
SANTO DOMINGO PUEBLO, NM 87052-1283
Phone number: 505-465-1169
Mailing Address
SHANE BENALLY OD
5300 LAS SOLERAS DR APT 6003
SANTA FE, NM 87507-2002
Phone number: 901-653-5701