Individual
CHRIS TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1650 GALISTEO ST, SANTA FE, NM 87505-4747
(505) 984-8313
Mailing address
421 NEW MEXICO AVE, LAS VEGAS, NM 87701-3281
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A-345
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3002080327
—
NM
Enumeration date
03/19/2020
Last updated
03/19/2020
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