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Individual

ROSE ANN QUILANG MAQUINAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN,RN

Contact information

Practice address
1000 MAR WALT DR, FORT WALTON BEACH, FL 32547-6708
(850) 862-1111
Mailing address
26 ANASTACIA DRIVE. SE, FORT WALTON BEACH, FL 32548
(850) 582-3848

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9565463
FL

Other

Enumeration date
04/12/2023
Last updated
04/12/2023
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