Individual
JESSICA QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
(801) 293-3310
Mailing address
5983 S REDWOOD RD, TAYLORSVILLE, UT 84123-5261
(801) 293-9999
(801) 293-3310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
5147659-3102
UT
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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