Individual
GABRIELA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4823 CALLE BELLA AVE, LAS CRUCES, NM 88012-7062
(575) 382-6867
Mailing address
385 CALLE DE ALEGRA STE A, LAS CRUCES, NM 88005-3423
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74481
—
NM
Enumeration date
03/21/2014
Last updated
10/19/2015
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