| NPI | 1477241685 |
|---|---|
| Other Name | CONSTANCE AUSTIN COATES QUEZADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2024-04-02 |