Individual
SHIVON G MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4716 RHODE ISLAND PL NE, ALBUQUERQUE, NM 87109-1742
(505) 312-1671
Mailing address
4716 RHODE ISLAND PL NE, ALBUQUERQUE, NM 87109-1742
(505) 312-1671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN-76678
NM
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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