NPI 1003326661

Manuel Enrique Valenzuela, COTAL

Practitioner Contractor Albuquerque, NM

Practice location

Address: 8016 Petroglyph Ave NW, Albuquerque, NM 87120-6558
Phone: (505) 228-5050
Mailing address: 1333 Bonito Rd SW, Albuquerque, NM 87105-4606

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 3814 (NM)

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Registry record

NPI: 1003326661
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Oct 2017
Record last updated: 9 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.