IndividualActive
Enrique Trujeque, IDMT
NPI 1710409404 · Independent Duty Medical Technicians · Travis Afb, CA
Provider details
- NPI number
- 1710409404
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- IDMT
- Sex
- Male
- Sole proprietor
- No
Mailing address
3127 S Eugene
Mesa, AZ 85212-3108
Registry dates
- Enumerated
- 2017-07-13
- Last updated
- 2017-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.