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Individual

MARGARITA QUEZADA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1320 S SOLANO DR, LAS CRUCES, NM 88001-3758
(575) 527-4710
Mailing address
6665 GOPHER RD, LAS CRUCES, NM 88012-6332

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18677037
NM
Enumeration date
12/09/2014
Last updated
12/09/2014
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