Individual
WILLIAM J. WAQUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
872 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-5927
(505) 867-2383
(505) 867-7293
Mailing address
PO BOX 595, JEMEZ PUEBLO, NM 87024-0595
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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