Individual
ERIC ARCHULETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4811 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2017
(505) 884-4609
Mailing address
4811 HARDWARE DR NE, ALBUQUERQUE, NM 87109-2017
(505) 884-4609
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000017795
NM
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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