GERALD QUINTANA

TAOS, NM
NPI1609857036
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: NM  4057)
Enumeration Date2005-11-11
Last Update Date2010-10-04
Business Address
GERALD QUINTANA RPH
811 PASEO DEL PUEBLO SUR
TAOS, NM 87571
Phone number: 505-758-4224
Mailing Address
GERALD QUINTANA RPH
811 PASEO DEL PUEBLO S
TAOS, NM 87571-6434
Phone number: 575-758-1704