NPI 1194257758

Angela L Bazemore Quaye, DBHCFNCRDMSSAP

Practitioner Sonography Radiologic Technologist Peoria, AZ

Practice location

Address: 29697 N 69th Dr, Peoria, AZ 85383-3178
Phone: (443) 636-0686
Fax: (602) 532-7857

Registered specialties (2)

Sonography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471S1302X Licence 108395 (MD)

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Nutritionist

Dietary & Nutritional Service Providers Taxonomy 133N00000X

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Registry record

NPI: 1194257758
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Mar 2017
Record last updated: 15 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.