Individual
JUSTIN SHUYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 847-5422
Mailing address
5184 MEMORY DR, EL PASO, TX 79932-2246
(915) 474-5384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1045932
TX
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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