Individual
URSULA ROSIE QUEJADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3801 MIRANDA AVE., PALO ALTO, CA 94504
(650) 694-6000
Mailing address
351 TABOC, SAN JUAN, LA UNION 2514
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00583893
CA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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