| NPI | 1093499824 |
|---|---|
| Former Name | CHRISTIEN EMILIANO QUEVEDO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2336777) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-03-28 |