Individual
HELENE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
85 WEST HIGHWAY 22, SANTO DOMINGO PUEBLO, NM 87052-8705
(505) 465-3060
Mailing address
85 WEST HIGHWAY 22, PO BOX 340, SANTO DOMINGO PUEBLO, NM 87052
(505) 465-3060
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN-76704
NM
Other
Enumeration date
06/04/2019
Last updated
06/04/2019
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