ADRIAN CLINT ESTRADA

LAS CRUCES, NM
NPI1205592409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies2255A2300X Specialist/Technologist Athletic Trainer
Enumeration Date2021-11-11
Last Update Date2021-11-11
Business Address
ADRIAN CLINT ESTRADA
1815 WELLS ST
LAS CRUCES, NM 88003-1304
Phone number: 575-640-1346
Mailing Address
ADRIAN CLINT ESTRADA
1815 WELLS ST
LAS CRUCES, NM 88003-1304
Phone number: 575-640-1346