Individual
MELBA GUSSY C QUITAYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
22 PROSPECT ST, NASHUA, NH 03060-3924
(603) 883-1626
(603) 881-9914
Mailing address
22 PROSPECT ST, NASHUA, NH 03060-3924
(603) 883-1626
(603) 881-9914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0862
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074422
—
NH
Enumeration date
11/16/2011
Last updated
07/05/2016
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