Individual
LUIS GABRIEL MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
145 DON PASQUAL RD NW, LOS LUNAS, NM 87031-8841
(505) 269-6753
Mailing address
6308 TAUTON PL NW, ALBUQUERQUE, NM 87120-6231
(505) 485-9471
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
60689
NM
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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