Individual
DAVID F TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 DON FERNANDO, TAOS, NM 87571
(505) 747-1991
Mailing address
314 DON FERNANDO, TAOS, NM 87571
(505) 747-1991
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
005457
NM
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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