Most Relevant Information
Provider Data
| NPI Number: | 1003513755 |
| Provider Name: | SHAMA ELLAKEAN NEWTON |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/13/2023 |
| Last Updated: | 02/13/2023 |
Provider Practice Location
11421 FREEWAY PL NE
ALBUQUERQUE
NM
871231255
Practice Location Phone/Fax
| Phone: | 5055441674 |
| Fax: |
Provider Mailing Location
PO BOX 28164
SANTA FE
NM
875928164
Provider Mailing Phone/Fax
| Phone: | 5055441674 |
| Fax: |