| NPI | 1386350775 |
|---|---|
| Former Name | QUESADA ANTHONY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95023929) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95217062) |
| 163WH0200X Registered Nurse, Home Health (Licence: CA 95217062) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95023929) | |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2023-05-31 |