Individual
CAROL DARLENE QUEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13917 JACKSON ST, THORNTON, CO 80602-8778
(303) 478-9445
Mailing address
13917 JACKSON ST, THORNTON, CO 80602-8778
(303) 478-9445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1620566
CO
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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