SHANE NEWSOM, 390200000X
Contractor
Active
Individual
NPI: 1578184990
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1578184990 is the National Provider Identifier for SHANE NEWSOM, 390200000X, a Contractor provider located in Albuquerque, NM. This NPI was enumerated on April 27, 2020.
SHANE NEWSOM, 390200000X practices at 12300 MODESTO AVE NE, Albuquerque, NM 87122.
Quick Facts
- NPI
- 1578184990
- Type
- Individual
- Enumerated
- Apr 27, 2020
- Last Updated
- Apr 27, 2020
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