Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Nuclear Imaging & Therapy |
207UN0902X | 36 | Physician/Nuclear Medicine |
| NPI # | 1437045358 |
| LBN Legal business name | QUANTUM THERANOSTICS PROGRAM AND TREATMENT CENTER |
| Authorized official | JESSICA CUESTA - (NURSE PRACTITIONER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/16/2025 |
| Last updated | 06/16/2025 - About 12 months ago |
| Identifiers | n/a |
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