Individual
JUANITA R FEUCHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12241 ACADEMY RD NE, ALBUQUERQUE, NM 87111-8051
(505) 938-4214
Mailing address
12241 ACADEMY RD NE, ALBUQUERQUE, NM 87111-8051
(505) 938-4214
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
09/05/2019
Last updated
07/25/2021
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