Individual
NINIVE ALEJANDRA QUIJADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DENTAL HYGIENIST
Contact information
Practice address
1100 F AVE, DOUGLAS, AZ 85607-1919
(520) 364-3285
(520) 515-8663
Mailing address
155 CALLE PORTAL STE 100, SIERRA VISTA, AZ 85635-2900
(520) 515-8673
(520) 515-8663
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
AZ
Enumeration date
10/13/2017
Last updated
03/17/2018
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