Doctor Name: | OATZI'NU SHE'E'LA'KE'E' |
NPI Number: | 1013331602 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | IAMP- MEDICINE MAN |
License Number: | 2300 |
Business Practice Address: | 3529 Smith Ave Se Albuquerque, NM - 871061605 |
Business Phone Number: | 5058193403 |
Business Fax Number: | |
Mailing Address: | Po Box 4682, ALBUQUERQUE |
State: | NM |
Postal Code: | 871964682 |
Phone Number: | 5058193403 |
Fax Number: | |
NPI Enumeration Date: | 02/18/2014 |
NPI Last Update Date: | 05/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |