Judah Archuleta

NPI #1003448523 in Las Cruces, New Mexico

Provider Information

NPI Number: 1003448523
Entity Type: Individual
Name: Judah Archuleta
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Feb 12, 2020
Last Updated: Feb 12, 2020

Practice Location

Address: 1435 COUNTRY CLUB CIR
City: Las Cruces
State: New Mexico
ZIP Code: 88001-1553
Phone: (575) 932-8267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Specialist	174400000X	Primary

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