Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | MT193614 | PA |
Y | 207VX0000X | Obstetrician | 15969 | NV |
NPI | 1083875652 |
---|---|
Provider Name | Yarini Quezada |
First Address | Las Vegas, NV 89148-4858 |
Second Address | Las Vegas, NV 89148-4858 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2008 |
Last Update Date | 01/02/2017 |