Individual
MARLISS MOQUINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCHW
Contact information
Practice address
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 554-4458
Mailing address
401 SAN MATEO BLVD SE, ALBUQUERQUE, NM 87108-2921
(505) 554-4458
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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