Individual
SHANNON JASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 E UNIVERSITY AVE, LAS CRUCES, NM 88003-1229
(575) 646-0111
Mailing address
12516 ROBERT DAVID DR, EL PASO, TX 79928-1756
(915) 588-9233
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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