Individual
AMANDA SHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5180
(505) 265-1711
Mailing address
10700 ACADEMY RD NE APT 1332, ALBUQUERQUE, NM 87111-7333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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