Individual
SHANNON DEE MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCHW
Contact information
Practice address
6401 JEFFERSON ST NE, ALBUQUERQUE, NM 87109-4376
(505) 553-6964
Mailing address
1814 TWILIGHT RD SE, RIO RANCHO, NM 87124-2678
(505) 553-6964
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G-1772
NM
Other
Enumeration date
04/30/2025
Last updated
04/30/2025
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