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Individual
ALICIA K QUELLA
Active
Individual
ALICIA K QUELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01255
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00388677
RR MEDICARE
IA
Enumeration date
02/23/2006
Last updated
02/26/2008
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