Individual
SERGIO QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
820 HWY 478, ANTHONY, NM 88021
(575) 882-5101
(575) 882-2858
Mailing address
P.O. BOX 4430, ANTHONY, NM 88021
(575) 882-5101
(575) 882-2858
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
134311096
NM
Other
Enumeration date
12/11/2009
Last updated
07/06/2010
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