Organization
CLINICA DEL VALLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TRUJILLO CNP (OWNER)
(505) 508-5398
Entity
Organization
Contact information
Practice address
1720 BRIDGE BLVD SW, STE F, ALBUQUERQUE, NM 87105-3100
(505) 508-5398
(505) 508-5374
Mailing address
1720 BRIDGE BLVD SW, STE F, ALBUQUERQUE, NM 87105-3100
(505) 508-5398
(505) 508-5374
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP01205
NM
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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