Individual
AUTUMN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8501 HIGHWAY 4, JEMEZ PUEBLO, NM 87024-9609
(575) 834-7391
Mailing address
40 OLD MILL RD, PONDEROSA, NM 87044-9793
(505) 508-9809
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
60743
NM
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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