Individual
MR. MANUEL DEJESUS ZARATE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
516 E NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 506-6076
Mailing address
455 ST. MICHEALS DRIVE, SANTA FE, NM 87505
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
121906
NM
367500000X
Certified Registered Nurse Anesthetist
Primary
53324
NM
Other
Enumeration date
04/30/2018
Last updated
04/26/2021
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