Individual
ENRIQUE TRUJEQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(593) 781-9721
Mailing address
3127 S EUGENE, MESA, AZ 85212-3108
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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