Individual
ANA SOFIA QUEZADA CANDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 434-4565
Mailing address
818 W PENNSYLVANIA AVE, REDLANDS, CA 92374-2040
(909) 434-4565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN829855
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN829855
BOARD OF REGISTERED NURSING
CA
Enumeration date
11/13/2017
Last updated
11/13/2017
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