Individual
SHANIA DEHERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 RIM VIEW RD, RANCHOS DE TAOS, NM 87557
(505) 633-0733
(505) 472-8122
Mailing address
PO BOX 1748, RANCHOS DE TAOS, NM 87557-1748
(505) 633-0733
(505) 472-8122
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/13/2025
Last updated
05/14/2025
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