Individual
RUBY JEAN TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1260 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3503
(505) 753-2391
Mailing address
1260 INDUSTRIAL PARK RD, ESPANOLA, NM 87532-3503
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R35908
NM
Other
Enumeration date
11/17/2017
Last updated
11/17/2017
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