Individual
LEANDRA NICOLE TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1400 MAIN ST NW, LOS LUNAS, NM 87031-4812
(505) 865-4368
Mailing address
1028 WALNUT CT SE, LOS LUNAS, NM 87031-9251
(505) 908-4531
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1044
NM
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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