Jovan Prudencio Archuleta is a student in an organized health care education training program in Palmer, AK. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jovan Prudencio Archuleta NPI is 1952069270. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
7335 E PALMER WASILLA HWY STE 2B
PALMER, AK
ZIP 99645-710
Phone: (907) 745-6200
The enumeration date for this NPI number is 12/3/2021 and was last updated on 12/3/2021.