Individual
TANNER SHAWN MESSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
490 LITTLE WINGS LOOP SW, LOS LUNAS, NM 87031-6339
(505) 206-8701
Mailing address
490 LITTLE WINGS LOOP SW, LOS LUNAS, NM 87031-6339
(505) 206-8701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2024
Last updated
03/15/2024
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