Individual
MRS. SHAWNA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1955 N VALLEY DR, LAS CRUCES, NM 88007-5154
(575) 527-9415
(575) 527-9420
Mailing address
505 S MAIN ST, STE 249, LAS CRUCES, NM 88001-1206
(575) 527-5884
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R55604
NM
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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