Individual
DARREL DRYDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS, FMS1
Contact information
Practice address
1903 MOUNTAIN VIEW DR, GALLUP, NM 87301-5643
(605) 269-1892
Mailing address
1903 MOUNTAIN VIEW DR, GALLUP, NM 87301-5643
(605) 269-1892
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
678
NM
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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