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Individual

MS. SUSAN L SHAFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC

Contact information

Practice address
4701 MONTGOMERY BLVD NE STE 105, ALBUQUERQUE, NM 87109-1219
(505) 727-6797
(505) 727-9979
Mailing address
4701 MONTGOMERY BLVD NE STE 105, ALBUQUERQUE, NM 87109-1219
(505) 727-6797
(505) 727-9979

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R43522
NM
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10912258
NM

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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