Individual
VILMA E QUIJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3544
(425) 690-9444
Mailing address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3544
(425) 690-9444
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20703
DC
207RN0300X
Nephrology Physician
Primary
MD00034300
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119381
LABOR IND
WA
Enumeration date
06/29/2006
Last updated
02/01/2022
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