Individual
KENNETH ARMAMENTO VILLAREAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 UNIVERSITY OF NEW MEXICO # 105550, ALBUQUERQUE, NM 87131-1007
(314) 412-0695
Mailing address
6701 TENNYSON ST NE APT 10202, ALBUQUERQUE, NM 87122-1166
(314) 412-0695
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
DO2024-0070
NM
Other
Enumeration date
04/10/2019
Last updated
09/20/2024
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