Individual
ELISA REGIS-MARQUETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DS II
Contact information
Practice address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
(505) 877-7063
Mailing address
1101 LOPEZ RD SW, ALBUQUERQUE, NM 87105-3954
(505) 877-7060
(505) 877-7063
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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