Vanessa Estella Martinez-Quezada

NPI #1326515313 in Blackfoot, Idaho

Provider Information

NPI Number: 1326515313
Entity Type: Individual
Name: Vanessa Estella Martinez-Quezada
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 28, 2018
Last Updated: Sep 3, 2019

Practice Location

Address: 419 W 270 N
City: Blackfoot
State: Idaho
ZIP Code: 83221-4927
Phone: (208) 221-4462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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