Individual
MR. SHANE JARAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
2839 CARLISLE BLVD NE, SUITE 110, ALBUQUERQUE, NM 87110-2876
(505) 881-3304
(505) 881-1622
Mailing address
2839 CARLISLE BLVD NE, SUITE 110, ALBUQUERQUE, NM 87110-2876
(505) 881-3304
(505) 881-1622
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
502
NM
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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