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Individual

CINA QUEZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
218 SW THIRD AVE, MADISON, FL 32340-1266
(850) 973-5000
Mailing address
3927 OLD PINE RD, VALDOSTA, GA 31605-6021

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5204540
FL

Other

Enumeration date
01/08/2018
Last updated
01/08/2018
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