Individual
LAN SHU NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5304 JOHN THOMAS DR NE, ALBUQUERQUE, NM 87111-1936
(505) 410-6356
Mailing address
5304 JOHN THOMAS DR NE, ALBUQUERQUE, NM 87111-1936
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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