Individual
SHONNA R CADDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9250 EAGLE RANCH RD NW, APT #412-S, ALBUQUERQUE, NM 87114-6033
(505) 259-1503
Mailing address
9250 EAGLE RANCH RD NW, APT #412-S, ALBUQUERQUE, NM 87114-6033
(505) 259-1503
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7556
NM
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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