Individual
BRITTNEY WAQUIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
139-B BEAR HEAD CANYON RD, JEMEZ PUEBLO, NM 87024
(575) 834-7207
Mailing address
139 BEAR HEAD CANYON RD UNIT B, JEMEZ PUEBLO, NM 87024-0776
(575) 837-7207
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417082215
JEMEZ HEALTH CLINIC
NM
Enumeration date
01/02/2025
Last updated
02/06/2025
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