Individual
SHANNON SIMS BERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1509 AGUA FRIA ST APT 11, SANTA FE, NM 87505-0955
(505) 988-9668
Mailing address
1509 AGUA FRIA ST APT 11, SANTA FE, NM 87505-0955
(505) 988-9668
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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