Individual
MACIE ENMAN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6655 S CIMARRON RD, LAS VEGAS, NV 89113-2180
(702) 369-7764
Mailing address
1021 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2026-02378
NC
208600000X
Surgery Physician
MD.43818
AL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/27/2026
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