Alicia K Quella PAC

NPI 1811963614 - Physician Assistant - 363A00000X

NPI Details
NPI 1811963614
Gender Female
Enumeration Date 02/23/2006
Last Updated 02/26/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1026 A AVE NE
CEDAR RAPIDS IA, 52402-5036, US
Phone (319) 369-7105
Fax
Business Location
1026 A AVE NE
CEDAR RAPIDS IA, 52402-5036, US
Phone (319) 369-7105
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Iowa
License Number 01255
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According to our database, Alicia K Quella PAC NPI is 1811963614, taxonomy code is 363A00000X and license number is 01255, license state is located at Iowa. Alicia K Quella PAC physically located at 1026 A Ave Ne, Cedar Rapids IA, 52402-5036. NPI Number Alicia K Quella PAC has the Individual type.

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1811963614 NPI number is provided on an as is basis without warranty of any kind. 1811963614 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia K Quella PAC are for informational purposes only.