Individual
SADIA QUIDWAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10186 STILBITE AVE, FOUNTAIN VALLEY, CA 92708-1012
(714) 624-0686
Mailing address
1835 NEWPORT BLVD, COSTA MESA, CA 92627-5031
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
CPT 00033313
CA
Other
Enumeration date
09/11/2014
Last updated
11/11/2014
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