Individual
SHAWNTELL MARTINEZ Y CANTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2524 SARITA AVE NW, ALBUQUERQUE, NM 87104-1980
(505) 252-8833
Mailing address
300 MENAUL BLVD NW STE A, ALBUQUERQUE, NM 87107-1347
(505) 252-8833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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