Search › New Mexico › 133VN1005X
Shannon Bares, RD, CSR, LD
NPI 1588360937 · on the registry since 2023
Practice
- Address
- 303 Stagecoach Rd
Gallup, NM 87301 - Phone
- (414) 403-0501
Registry record
- Primary taxonomy
- 133VN1005X
133VN1005X
- Also registered as
- 133V00000X
133V00000X
133V00000X - Licence states on file
- NM, ID, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-06
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