Individual
MRS. JANET QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11312 COVELLO ST, SUN VALLEY, CA 91352-4711
(562) 612-1135
Mailing address
PO BOX 2022, PARAMOUNT, CA 90723-8022
(562) 612-1135
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
244167
CA
Other
Enumeration date
10/05/2009
Last updated
10/05/2009
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