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Shatoya Jacob

NPI 1891637963 · on the registry since 2026 · sole proprietor

Practice

Address
1501 San Pedro Dr Se # 128
Albuquerque, NM 87108
Phone
(505) 800-1874
Fax
(505) 800-1874
Clinicians at this address
15

Registry record

Primary taxonomy
3747A0650X
3747A0650X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-08

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