SearchNew Mexico163W00000X

Dana Shock

NPI 1255885430 · on the registry since 2016

Practice

Address
Pueblo Of San Felipe
San Felipe Pueblo
San Felipe Pueblo, NM 87001
Phone
(505) 771-9915

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WC1500X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-05

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