NPI | 1578803029 |
---|---|
Other Name | JESSE QUIRARTE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2019060742) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 829189) |
Enumeration Date | 2013-02-20 |
Last Update Date | 2021-02-22 |