Individual
YANZA QUESADA-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
7704 2ND ST NW, ALBUQUERQUE, NM 87107-6755
(505) 924-7809
Mailing address
4401 MONTGOMERY BLVD NE APT J94, ALBUQUERQUE, NM 87109-1208
(505) 730-6976
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G1735
NM
Other
Enumeration date
04/10/2025
Last updated
04/21/2025
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