Individual
MR. MARIO R CONTRERAS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, LAT, ATC
Contact information
Practice address
701 W AVENUE K, LOVINGTON, NM 88260-5599
(575) 739-2242
Mailing address
PO BOX 2988, ROSWELL, NM 88202-2988
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT812
NM
Other
Enumeration date
02/19/2019
Last updated
08/31/2020
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