Mr. Shenan Lark
Mr. Shenan Lark is a Personal Emergency Response Attendant in Angel Fire, New Mexico. Practices as a sole proprietor. Registered with an NPI since 2015.
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
28 Aspen St # 205Angel Fire, NM 87710
Phone: (505) 603-9282
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Private Vehicle (primary) | Taxonomy 347C00000X |
|---|---|
| Personal Emergency Response Attendant | Taxonomy 146D00000X |
| Driver | Taxonomy 172A00000X |
Record details
| NPI number | 1104211655 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 1, 2015 |
| Last updated in NPPES | April 1, 2015 |
| Mailing address | Po Box 1522, Angel Fire, NM 87710-1522 |