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Individual

MRS. TATANYIEA TRUJILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
4004 CARLISLE BLVD NE, SUITE K, ALBUQUERQUE, NM 87107-4565
(505) 321-9880
Mailing address
4004 CARLISLE BLVD NE, SUITE K, ALBUQUERQUE, NM 87107-4565
(505) 321-9880

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1780
NM

Other

Enumeration date
05/02/2008
Last updated
05/02/2008
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