Individual
ASHLEY BROOKE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
(575) 627-2500
Mailing address
300 N KENTUCKY AVE, ROSWELL, NM 88201-4636
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
404383
NM
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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