Individual
JENNIFER QUEZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 ISLE OF VENICE DR APT 5, FORT LAUDERDALE, FL 33301-1439
(954) 270-6396
Mailing address
86 ISLE OF VENICE DR APT 5, FORT LAUDERDALE, FL 33301-1439
(954) 270-6396
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
90818
CA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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