Bazemore Quaye, Angela L

Bazemore Quaye, Angela L is an individual health care provider with primary practice located at 29697 N 69Th Dr , Peoria AZ 85383-3178. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Technologists, Technicians & Other Technical Service Providers / Sonography. Technologists, Technicians & Other Technical Service Providers / Sonography is her primary health care specialty. Bazemore Quaye, Angela L can be contacted via phone (443) 636-0686.

Contact Information

Primary practice address
29697 N 69Th Dr Peoria AZ 85383-3178
Phone: (443) 636-0686
Fax: (602) 532-7857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X
Technologists, Technicians & Other Technical Service Providers / Sonography 2471S1302X 108395 Maryland

Profile Details

NPI number 1194257758
LBN Legal business name Bazemore Quaye, Angela L
Credentials DBH, CFNC, RDMS, SAP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2017
Last updated Apr 15th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194257758 NPPES
Arizona MEDICAID 814313295

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