DIEGO MALDONADO QUEZADA
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1679266308
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist | 235500000X | No | - |
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 2000057806 (CA) |
Frequently Asked Questions
NPI 1679266308 is the National Provider Identifier for DIEGO MALDONADO QUEZADA, a Specialist/Technologist - Athletic Trainer provider located in Moscow, ID. This NPI was enumerated on May 30, 2023.
DIEGO MALDONADO QUEZADA practices at 875 PERIMETER DR, Moscow, ID 83844.
Quick Facts
- NPI
- 1679266308
- Type
- Individual
- Enumerated
- May 30, 2023
- Last Updated
- Aug 2, 2025
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