Individual
CHRISTOPHER SHANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3013 FORAKER PL NW, ALBUQUERQUE, NM 87107-1280
(505) 440-1128
Mailing address
PO BOX 30363, ALBUQUERQUE, NM 87190-0363
(505) 232-7177
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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