Individual
ANGELA M QUIJANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AIDE
Contact information
Practice address
100 W PARKWOOD DR, FAIRBORN, OH 45324-3727
(937) 718-5936
Mailing address
100 W PARKWOOD DR, FAIRBORN, OH 45324-3727
(937) 718-5936
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
489435
—
OH
Enumeration date
02/10/2020
Last updated
02/10/2020
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