Most Relevant Information
Provider Data
| NPI Number: | 1003684416 |
| Provider Name: | CATHERINE SHANK |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/14/2023 |
| Last Updated: | 12/14/2023 |
Provider Practice Location
105 BERTHA RD STE B
TAOS
NM
875717148
Practice Location Phone/Fax
| Phone: | 5757584297 |
| Fax: |
Provider Mailing Location
401 TULANE PL NE
ALBUQUERQUE
NM
871062155
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |