Individual
CATHERINE ANN QUIJANO VIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 E LANCASTER AVE, WYNNEWOOD, PA 19096-3450
(484) 565-1048
Mailing address
4201 HENRY AVE, PHILADELPHIA, PA 19144-5409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
01/21/2026
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