Individual
MR. DANIEL M PADILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN NURSE
Contact information
Practice address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 946-1483
(505) 820-1209
Mailing address
2960 RODEO PARK DR W, SANTA FE, NM 87505-6351
(505) 946-1490
(505) 820-1209
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L19665
NM
Other
Enumeration date
11/07/2012
Last updated
11/07/2012
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