DANIEL PERALTA

TAOS, NM
NPI1952990079
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2021-01-13
Last Update Date2021-01-13
Business Address
DANIEL PERALTA
630 PASEO DEL PUEBLO SUR
TAOS, NM 87571-6070
Phone number: 575-758-7430
Mailing Address
DANIEL PERALTA
12025 MANITOBA DR NE
ALBUQUERQUE, NM 87111-2749
Phone number: 575-770-4024