Individual
ANNIE QUINTANA VEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 S GLENDORA AVE UNIT 1347, WEST COVINA, CA 91790-5903
(786) 603-9792
Mailing address
301 S GLENDORA AVE UNIT 1347, WEST COVINA, CA 91790-5903
(786) 603-9792
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95030395
CA
Other
Enumeration date
06/06/2024
Last updated
12/13/2024
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