Individual
MS. SHANNON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M., L.AC., L.M.T
Contact information
Practice address
128 BRIDGE ST, LAS VEGAS, NM 87701-3427
(505) 310-3239
Mailing address
2421 JESSIE LEE LN, LAS VEGAS, NM 87701-5026
(505) 310-3239
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1098
NM
225700000X
Massage Therapist
0351
NM
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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