Individual
YANELI CUESTA
Active
Individual
YANELI CUESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9104666
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA91404666
STATE LICENSE
FL
Enumeration date
05/29/2009
Last updated
05/29/2009
Update your record
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