Individual
CAITLIN SHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8416 SONOMA VALLEY RD NE, ALBUQUERQUE, NM 87122-2626
(505) 610-4412
Mailing address
8416 SONOMA VALLEY RD NE, ALBUQUERQUE, NM 87122-2626
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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