Individual
MAQUEITA ELEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPAT, ATR-BC
Contact information
Practice address
1919 5TH ST STE O, SANTA FE, NM 87505-6012
(505) 913-1641
Mailing address
2800 S MEADOWS RD UNIT 435, SANTA FE, NM 87507-3680
(505) 913-1641
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
CTB-2023-0073
NM
Other
Enumeration date
01/16/2021
Last updated
11/02/2023
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