Individual
JOVITA QUEZADAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12301 ALONDRA BLVD APT 103, NORWALK, CA 90650-8406
(626) 206-1797
Mailing address
12301 ALONDRA BLVD APT 103, NORWALK, CA 90650-8406
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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