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Individual

CECILIA ENRIQUETA QUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, BSN, ADA

Contact information

Practice address
2900 E DEL MAR BLVD, PASADENA, CA 91107-4375
(626) 823-2794
Mailing address
930 FIGUEROA TER APT 718, LOS ANGELES, CA 90012-3084
(804) 502-3915

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
811898
CA

Other

Enumeration date
11/03/2019
Last updated
11/03/2019
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