Individual
DANIEL MAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
210 COOK AVE, RATON, NM 87740
(505) 445-1037
(505) 445-1041
Mailing address
210 COOK AVE, RATON, NM 87740
(505) 445-1037
(505) 445-1041
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
538
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NM01R472
BLUE CROSS BLUE SHIELD
NM
Enumeration date
08/29/2006
Last updated
07/08/2007
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