Individual
YVETTE QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCSS
Contact information
Practice address
105 PASEO DEL CANON W STE A, TAOS, NM 87571-6943
(575) 758-5857
Mailing address
PO BOX 94508, ALBUQUERQUE, NM 87199-4508
(505) 384-7352
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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