Shannon S Poulos
Shannon S Poulos is a Student in an Organized Health Care Education/Training Program in Albuquerque, New Mexico. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
3150 Carlisle Blvd NE Ste 105Albuquerque, NM 87110-1680
Phone: (505) 633-8173
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1285444927 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 13, 2025 |
| Last updated in NPPES | January 13, 2025 |
| Certification date | January 13, 2025 |
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