Individual
SHANNON ALMANZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9150 MCMAHON BLVD NW, ALBUQUERQUE, NM 87114-5201
(505) 898-7986
Mailing address
10001 COORS BYP NW APT 1411, ALBUQUERQUE, NM 87114-4149
(505) 274-9348
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-0376
NM
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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