Most Relevant Information
Provider Data
| NPI Number: | 1003275959 |
| Provider Name: | SHAE RAY |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP2201X |
| Specialty: | Registered Nurse |
| License Number: | R67104 |
Most Important Dates
| Enumeration Date: | 02/21/2016 |
| Last Updated: | 02/21/2016 |
Provider Practice Location
4005 HIGH RESORT BLVD SE
RIO RANCHO
NM
871245906
Practice Location Phone/Fax
| Phone: | 5054626000 |
| Fax: |
Provider Mailing Location
4005 HIGH RESORT BLVD SE
RIO RANCHO
NM
871245906
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |