Individual
NANCY VIVIANA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
690 N COFCO CENTER CT, STE 290, PHOENIX, AZ 85008-6462
(602) 631-3161
(602) 631-3162
Mailing address
PO BOX 29870, PHOENIX, AZ 85038-9870
(602) 772-3800
(602) 772-3801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
02/27/2007
Last updated
10/22/2012
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