Individual
MR. KENNETH JOSEPH TREZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCTMB LMT
Contact information
Practice address
6915 CALLE ALMERIA NE, ALBUQUERQUE, NM 87113-1093
(505) 345-9934
(505) 345-3708
Mailing address
6915 CALLE ALMERIA NE, 6915 CALLE ALMERIA N.E., ALBUQUERQUE, NM 87113-1093
(505) 345-9934
(505) 345-3708
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5253
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5253
LICENCE NUMBER
NM
Enumeration date
04/14/2007
Last updated
07/08/2007
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