Individual
QUINN K NIEDBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW
Contact information
Practice address
3301 LOS ARBOLES AVE NE, ALBUQUERQUE, NM 87107-1943
(505) 800-7092
Mailing address
1529 GARCIA ST NE, ALBUQUERQUE, NM 87112-4024
(313) 354-9805
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
1766
NM
Other
Enumeration date
11/25/2022
Last updated
04/14/2025
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