Individual
MS. NADINE MARIE CERQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1926 VIA CENTRE DR, STE B, VISTA, CA 92081-6056
(760) 632-2512
(760) 634-2758
Mailing address
1926 VIA CENTRE DRIVE, STE. B, VISTA, CA 92081-6056
(760) 632-2512
(760) 634-2758
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PT23729
CA
Other
Enumeration date
06/09/2006
Last updated
04/24/2015
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