Individual
SANTANA INDE MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1217 1ST ST NW, ALBUQUERQUE, NM 87102-1529
(505) 843-7611
Mailing address
PO BOX 25445, ALBUQUERQUE, NM 87125-0445
(505) 766-5197
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NM
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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