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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUVENAL BRANDON TORRES (OWNER)
(505) 444-2400
Entity
Organization

Contact information

Practice address
150 WASHINGTON AVE, SANTA FE, NM 87501-2073
(505) 444-2400
Mailing address
150 WASHINGTON AVE, SANTA FE, NM 87501-2073
(505) 444-2400

Taxonomy

Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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