Individual
EILEEN SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-4740
(505) 253-6100
Mailing address
105 ROSE PETAL WAY, ROCKVILLE, MD 20850-2875
(240) 888-5157
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2018
Last updated
10/25/2022
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