| NPI | 1487411195 |
|---|---|
| Professional Name | JOSE D QUEZADA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN292069) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA RN292069) |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-05-22 |