PETER DILLON GARDNER ALAM

ALBUQUERQUE, NM
NPI1417657594
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NM  AT22024)
Enumeration Date2023-03-07
Last Update Date2023-07-18
Business Address
PETER DILLON GARDNER ALAM
1224 NAKOMIS DR NE UNIT H
ALBUQUERQUE, NM 87112-6047
Phone number: 832-512-5120
Mailing Address
PETER DILLON GARDNER ALAM
20747 CRANFIELD DR
KATY, TX 77450-2703
Phone number: 832-512-5120