Individual
MICHAEL ALLEN TRAUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8400 MAGENTA RD NW, ALBUQUERQUE, NM 87120-1909
(194) 145-6404
Mailing address
8400 MAGENTA RD NW, ALBUQUERQUE, NM 87120-1909
(941) 456-4041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/24/2020
Last updated
11/24/2020
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