Individual
JESSICA FERNANDA MARQUEZ QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
(505) 327-4796
Mailing address
1001 W BROADWAY, FARMINGTON, NM 87401-5638
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DB-2023-0217
NM
Other
Enumeration date
02/14/2024
Last updated
02/26/2024
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