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Individual

JOANNA LUISA QUEZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 MISSION AVE STE A, OCEANSIDE, CA 92058-7102
(760) 212-4101
Mailing address
1701 MISSION AVE STE A, OCEANSIDE, CA 92058-7102
(760) 212-4101

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
276498
CA

Other

Enumeration date
10/28/2013
Last updated
10/28/2013
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