Individual
TERESA QUIROGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N 2ND ST, RATON, NM 87740-3803
(505) 445-7090
Mailing address
PO BOX 982, LA VETA, CO 81055-0982
(719) 742-0219
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
329265
NM
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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