Maldonado Quezada, Diego

Maldonado Quezada, Diego is an individual health care provider with primary practice located at 875 Perimeter Dr , Moscow ID 83844-9803. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Specialist/Technologist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Maldonado Quezada, Diego can be contacted via phone (208) 885-6111.

Contact Information

Primary practice address
875 Perimeter Dr Moscow ID 83844-9803
Phone: (208) 885-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000057806 California

Profile Details

NPI number 1679266308
LBN Legal business name Maldonado Quezada, Diego
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2023
Last updated Aug 2nd, 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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