Provider Demographics
NPI:1184481467
Name:QUEZADA, VIOLETA
Entity type:Individual
Prefix:
First Name:VIOLETA
Middle Name:
Last Name:QUEZADA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3628 MADISON AVE
Mailing Address - Street 2:STES 6, 7, AND 10
Mailing Address - City:NORTH HIGHLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:95660-5069
Mailing Address - Country:US
Mailing Address - Phone:916-388-3231
Mailing Address - Fax:916-388-3232
Practice Address - Street 1:3628 MADISON AVE STES 6, 7, 10
Practice Address - Street 2:
Practice Address - City:NORTH HIGHLANDS
Practice Address - State:CA
Practice Address - Zip Code:95660-5069
Practice Address - Country:US
Practice Address - Phone:916-388-3231
Practice Address - Fax:916-388-3232
Is Sole Proprietor?:No
Enumeration Date:2024-03-04
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No172V00000XOther Service ProvidersCommunity Health Worker