Individual
MARIE KATHLEEN GRIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6276
(505) 867-2383
(505) 867-7593
Mailing address
301 S CAMINO DEL PUEBLO, BERNALILLO, NM 87004-6276
(505) 867-2383
(505) 867-7293
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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