Individual
JENNIFER TAFOYA TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 N 6TH ST, BELEN, NM 87002-3605
(505) 317-7773
(855) 844-8611
Mailing address
101 N 6TH ST, BELEN, NM 87002-3605
(505) 317-7773
(855) 844-8611
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
PA2004-0023
NM
363A00000X
Physician Assistant
Primary
PA2004-0023
NM
Other
Enumeration date
08/02/2006
Last updated
12/26/2019
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