Provider Demographics
NPI:1063274934
Name:SAIZ, RAQUEL JUSTINE
Entity type:Individual
Prefix:
First Name:RAQUEL
Middle Name:JUSTINE
Last Name:SAIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7303 MONTGOMERY BLVD NE APT L268
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-7512
Mailing Address - Country:US
Mailing Address - Phone:505-712-7893
Mailing Address - Fax:
Practice Address - Street 1:7303 MONTGOMERY BLVD NE APT L268
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-7512
Practice Address - Country:US
Practice Address - Phone:505-712-7893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-26
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician