Individual
MS. MARGUERITE ARCHIBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12424 MANGAS TRL NE, ALBUQUERQUE, NM 87111-7265
(505) 280-7062
Mailing address
12424 MANGAS TRL NE, ALBUQUERQUE, NM 87111-7265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
150
NM
Other
Enumeration date
04/10/2015
Last updated
04/10/2015
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