Individual
LOURDES L MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR NE, ALBUQUERQUE, NM 87110-6731
(505) 823-4530
(505) 823-4538
Mailing address
28 VISTA HERMOSA PL NE, RIO RANCHO, NM 87124-4378
(505) 239-9066
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3633
NM
Other
Enumeration date
02/09/2018
Last updated
02/09/2018
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