MR. SHENAN LARK
Private Vehicle
Active
Individual
NPI: 1104211655
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | No | - |
| Driver | 172A00000X | No | - |
| Private Vehicle | 347C00000X | Yes | - |
Frequently Asked Questions
NPI 1104211655 is the National Provider Identifier for MR. SHENAN LARK, a Private Vehicle provider located in Angel Fire, NM. This NPI was enumerated on April 1, 2015.
MR. SHENAN LARK practices at 28 ASPEN ST. # 205, Angel Fire, NM 87710.
Quick Facts
- NPI
- 1104211655
- Type
- Individual
- Enumerated
- Apr 1, 2015
- Last Updated
- Apr 1, 2015
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