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NPI Code Detail

MEDICARE: ORALIA QUEZADA

MEDICARE: ORALIA QUEZADA
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1871963017
Entity Type Code : Individual
Provider Name (Legal Business Name) : ORALIA QUEZADA
Provider Business Mailing Address
First Line : 177 ASPEN DR
Second Line :
City : SUNLAND PARK
State : NM
Zip : 88063-9193
Country : US
Telephone Number : 915-801-8041
Fax Number :
Provider Business Practice Location Address
First Line : 755 S TELSHOR BLVD STE 201B
Second Line :
City : LAS CRUCES
State : NM
Zip : 88011-3647
Country : US
Telephone Number : 505-974-5890
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2015
Last Update Date : 09/11/2025

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Directions to “ ORALIA QUEZADA ” Practice Location

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