Individual
DR. NATHANIEL ADRIAN MASCARENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, OCS
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
424 JEFFERSON ST NE APT 39, ALBUQUERQUE, NM 87108-1278
(505) 720-0570
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT5111
NM
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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