ANTONIO TAVITAS

ALBUQUERQUE, NM
NPI1104202308
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NM  CNP-02706)
Enumeration Date2015-08-11
Last Update Date2023-11-29
Business Address
ANTONIO TAVITAS BC-FNP
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: 505-841-1234
Mailing Address
ANTONIO TAVITAS BC-FNP
1100 CENTRAL AVE SE
ALBUQUERQUE, NM 87106-4930
Phone number: