Individual
ROGELIA FLORES-QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 PARKS AVE APT 8, LA MESA, CA 91941-6188
(619) 248-1685
Mailing address
4444 PARKS AVE APT 8, LA MESA, CA 91941-6188
(619) 248-1685
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A4311991
DRIVER LICENSE
CA
Enumeration date
02/19/2020
Last updated
02/19/2020
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