Individual
MS. JOANNA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
Mailing address
1100 CENTRAL AVE SE, ALBUQUERQUE, NM 87106-4930
(505) 724-6124
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
6199
NM
363A00000X
Physician Assistant
Primary
PA2022-0063
NM
Other
Enumeration date
01/26/2011
Last updated
12/06/2022
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