Individual
GRACIELA VILLEGAS QUINTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47825 OASIS ST, INDIO, CA 92201-6950
(760) 863-8455
Mailing address
47825 OASIS ST, INDIO, CA 92201-6950
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
02/03/2026
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