Individual
STEPHANIE M QUEVEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10625 BIG BEND RD, RIVERVIEW, FL 33579-7176
(813) 549-0931
Mailing address
14103 COVERT GREEN PL, RIVERVIEW, FL 33579-3207
(773) 717-0834
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH26971
FL
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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