Individual
SHANNON LYNAE WOODROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7007 WYOMING BLVD NE STE A4, ALBUQUERQUE, NM 87109-6941
(505) 821-1433
Mailing address
7007 WYOMING BLVD NE STE A4, ALBUQUERQUE, NM 87109-6941
(505) 821-1433
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH3076
NM
Other
Enumeration date
04/12/2016
Last updated
04/12/2016
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