Most Relevant Information
Provider Data
| NPI Number: | 1003677196 |
| Provider Name: | TAMARA TRUJILLO CPSW |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 913 |
Most Important Dates
| Enumeration Date: | 01/17/2024 |
| Last Updated: | 01/17/2024 |
Provider Practice Location
1333 PASEO DEL PUEBLO SUR
TAOS
NM
875715972
Practice Location Phone/Fax
| Phone: | 5757799889 |
| Fax: |
Provider Mailing Location
1333 PASEO DEL PUEBLO SUR
TAOS
NM
875715972
Provider Mailing Phone/Fax
| Phone: | 5757799889 |
| Fax: |