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Shenan Lark

NPI 1104211655 · on the registry since 2015 · sole proprietor

Practice

Address
28 Aspen St. # 205
Angel Fire, NM 87710
Phone
(505) 603-9282

Registry record

Primary taxonomy
Private Vehicle
347C00000X
Also registered as
Personal Emergency Response Attendant
Driver
Sex
Male
Record last updated
2015-04-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico