Individual
MRS. ANGELITA REYES QUIROZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
339 S BROAD ST, ELLAVILLE, GA 31806-3304
(229) 931-8680
(229) 937-2232
Mailing address
PO BOX 65, ELLAVILLE, GA 31806-0065
(229) 931-8680
(229) 937-2232
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN225863
GA
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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