Individual
DR. JOAQUINA ELIZABETH VIDES DE MONTOYA
Active
Individual
DR. JOAQUINA ELIZABETH VIDES DE MONTOYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
41609
TN
207R00000X
Internal Medicine Physician
Primary
41609
TN
207RI0200X
Infectious Disease Physician
41609
TN
Other
Enumeration date
10/06/2006
Last updated
05/09/2022
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