MS. Shannon Smith, D.O.M., L.AC., L.M.T

NPI #1003241910 in Las Vegas, New Mexico

Provider Information

NPI Number: 1003241910
Entity Type: Individual
Name: MS. Shannon Smith, D.O.M., L.AC., L.M.T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: D.O.M., L.AC., L.M.T
Enumeration Date: Sep 10, 2013
Last Updated: Sep 10, 2013

Practice Location

Address: 128 BRIDGE ST
City: Las Vegas
State: New Mexico
ZIP Code: 87701-3427
Phone: (505) 310-3239

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary
Massage Therapist	225700000X

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