Individual
JULIAN ALFREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4540
(505) 294-5486
Mailing address
2709 WYOMING BLVD NE, ALBUQUERQUE, NM 87111-4540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7626
NM
Other
Enumeration date
08/16/2013
Last updated
08/16/2013
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