Individual
SHANDIIN ALLURA SAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
MSC 09 5040, 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 994-5300
Mailing address
412 HASTIN NEZ, CAMP VERDE, AZ 86322-8244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73786
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/12/2021
Last updated
11/26/2024
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