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Organization
THELMA IMMACULADA E EDQUID MD PC
Active
Organization
THELMA IMMACULADA E EDQUID MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THELMA I EDQUID M.D. (PRESIDENT)
(661) 323-5918
Entity
Organization
Contact information
Practice address
27300 IRIS AVE, MORENO VALLEY, CA 92555-4802
(951) 243-0811
(661) 323-4703
Mailing address
3550 Q ST, SUITE 101, BAKERSFIELD, CA 93301-1662
(661) 323-5918
(661) 323-4703
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A70526
CA
Other
Enumeration date
07/17/2008
Last updated
07/17/2008
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