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NPI Code Detail

MEDICARE: DEBRILLA MARIE RATCHFORD

MEDICARE: DEBRILLA MARIE RATCHFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1175T00000XPeer Specialist1759NM

General Provider Information

NPI Number : 1720881600
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBRILLA MARIE RATCHFORD
Provider Business Mailing Address
First Line : 1709 MOON ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-3935
Country : US
Telephone Number : 505-271-0329
Fax Number :
Provider Business Practice Location Address
First Line : 1709 MOON ST NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87112-3935
Country : US
Telephone Number : 505-271-0329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2025
Last Update Date : 05/24/2026

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Directions to “ DEBRILLA MARIE RATCHFORD ” Practice Location

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