Individual
ADRIAN VALLEJOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2620 SAN MATEO BLVD NE STE F, ALBUQUERQUE, NM 87110-3163
(505) 888-4044
Mailing address
4200 SPANISH BIT NE, ALBUQUERQUE, NM 87111-4263
(505) 431-1419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6928
NM
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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