Individual
LACIE R. MARIE MOQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 1ST ST NE, RIO RANCHO, NM 87124-0735
(505) 975-8289
Mailing address
407 1ST ST NE, RIO RANCHO, NM 87124-0735
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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