Individual
EZEQUIEL PALOMARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2404 S LOCUST ST STE 5, LAS CRUCES, NM 88001-5789
(575) 521-4188
Mailing address
219 MERIDA DR, ANTHONY, NM 88021-8226
(157) 549-6916
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT8170
TX
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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