Individual
AUBREY HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3791 SOUTHERN BLVD SE STE 100, RIO RANCHO, NM 87124-7417
(505) 994-9435
Mailing address
3791 SOUTHERN BLVD SE STE 100, RIO RANCHO, NM 87124-7417
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2019-0042
NM
Other
Enumeration date
04/24/2019
Last updated
07/12/2021
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