Individual
SHANEISE ANDREA ARAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
(505) 907-5080
Mailing address
6400 UPTOWN BLVD NE, ALBUQUERQUE, NM 87110-4202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
CF7004
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/21/2017
Last updated
02/25/2020
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