Individual
TAMARA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
1333 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5972
(575) 779-9889
Mailing address
1333 PASEO DEL PUEBLO SUR, TAOS, NM 87571-5972
(575) 779-9889
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
913
NM
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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