Individual
GABRIELLE JULIA ATENCIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
318 E CHUSKA ST, AZTEC, NM 87410-2115
(505) 419-4868
Mailing address
318 E CHUSKA ST, AZTEC, NM 87410-2115
(505) 334-3633
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC-2024-0012
NM
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/05/2020
Last updated
02/13/2025
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