Individual
SHONTELLE ANTOINETTE LUJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2720 BROADBENT PKWY NE STE A, ALBUQUERQUE, NM 87107-1623
(800) 237-6257
Mailing address
2525 TINGLEY DR SW APT 305, ALBUQUERQUE, NM 87104-1655
(505) 819-7439
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
75475
NM
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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