Individual
JUDAH ARCHULETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1435 COUNTRY CLUB CIR, LAS CRUCES, NM 88001-1553
(575) 932-8267
Mailing address
1435 COUNTRY CLUB CIR, LAS CRUCES, NM 88001-1553
(575) 932-8267
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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