Individual
MYRRIA QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4010 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109-1186
(505) 275-4288
(505) 254-6532
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7963
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2022-0092
NM
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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