Individual
VANESSA QUEZADA TAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
118 N BEDFORD RD, MOUNT KISCO, NY 10549-2553
(800) 362-6220
Mailing address
20 SHADY BROOK CT, WATCHUNG, NJ 07069-6137
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89166
NJ
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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