Guereque, Laura

Guereque, Laura is an sole proprietor health care provider with primary practice located at 4217 Big Sky Rd , Santa Fe NM 87507-4845. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Guereque, Laura can be contacted via phone (505) 469-8887.

Contact Information

Primary practice address
4217 Big Sky Rd Santa Fe NM 87507-4845
Phone: (505) 469-8887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1275098253
LBN Legal business name Guereque, Laura
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2019
Last updated Feb 4th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275098253 NPPES
New Mexico MEDICAID 3618121567

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