SHANE NEWSOM

390200000X specializing in contractor in Albuquerque, New Mexico

NPI: 1578184990

Provider Type

1

Practice Locations

Mailing Location

12300 MODESTO AVE NE

ALBUQUERQUE, NM 87122

📞 5055534835

Practice Location

12300 MODESTO AVE NE

ALBUQUERQUE, NM 87122

📞 5055534835

Provider Information

Gender:M
Sole Proprietor:Yes
Enumeration Date:4/27/2020
Last Updated:4/27/2020

Credentials

Primary Credential:390200000X