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Individual
RAIZZA QUEEN BANIQUED ACODE
Active
Individual
RAIZZA QUEEN BANIQUED ACODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, NP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95239692
CA
363L00000X
Nurse Practitioner
Primary
95032745
CA
Other
Enumeration date
10/31/2024
Last updated
07/29/2026
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