SearchTennesseeSurgical Assistant

Walter Quijada Henriquez, SA-C

NPI 1265207849 · on the registry since 2023 · sole proprietor

Practice

Address
507 Derby Pl
Smyrna, TN 37167
Phone
(629) 200-5895

Registry record

Primary taxonomy
Surgical Assistant
246ZC0007X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee