Individual
MRS. ELVA NERY QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSING ASSISTANT
Contact information
Practice address
2550 SE 173RD ST, SUMMERFIELD, FL 34491-6073
(352) 347-2361
Mailing address
2550 SE 173 ST, SUMMERFIELD, FL 34491
(352) 347-2361
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA115859
FL
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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