Individual
MICHAEL MARTIN GRIJALVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8400 MENAUL BLVD NE, SUTIE F., ALBUQUERQUE, NM 87112-2260
(505) 299-7777
(505) 299-7777
Mailing address
8400 MENAUL BLVD NE, SUTIE F., ALBUQUERQUE, NM 87112-2260
(505) 299-7777
(505) 299-7777
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
0803
NM
Other
Enumeration date
08/05/2007
Last updated
06/06/2013
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