Most Relevant Information
Provider Data
| NPI Number: | 1003448523 |
| Provider Name: | JUDAH ARCHULETA |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/12/2020 |
| Last Updated: | 02/12/2020 |
Provider Practice Location
1435 COUNTRY CLUB CIR
LAS CRUCES
NM
880011553
Practice Location Phone/Fax
| Phone: | 5759328267 |
| Fax: |
Provider Mailing Location
1435 COUNTRY CLUB CIR
LAS CRUCES
NM
880011553
Provider Mailing Phone/Fax
| Phone: | 5759328267 |
| Fax: |