Individual
MRS. MARIA THERESA ORDONEZ QUEJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
19030 BRASILIA DR, NORTHRIDGE, CA 91326-1520
(323) 819-0479
Mailing address
19030 BRASILIA DR, NORTHRIDGE, CA 91326-1520
(323) 819-0479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4059HHA-5
NV
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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