Individual
JESSICA MARIE TRUJILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6276
(505) 867-2383
Mailing address
2600 MARBLE AVE NE BLDG 2, ALBUQUERQUE, NM 87106-2058
(505) 272-2190
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
M-11094
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
NM
Enumeration date
04/12/2018
Last updated
01/08/2020
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