Individual
JUAN QUESADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 CRAIG COURT, ELMWOOD PARK, NJ 07407
(347) 854-8032
Mailing address
21 CRAIG CT, ELMWOOD PARK, NJ 07407-1110
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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