Individual
ANGELINA SHIGEURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ROUTE 301 NORTH B STREET, ZUNI, NM 87327-0467
(505) 782-7450
Mailing address
PO BOX 467, ZUNI, NM 87327-0467
(505) 782-7450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
276711-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66285810
—
NM
Enumeration date
12/09/2011
Last updated
03/06/2015
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