Provider Demographics
NPI:1588477632
Name:PAYONGAYONG, JOY ANNE QUINTOS
Entity type:Individual
Prefix:MRS
First Name:JOY ANNE
Middle Name:QUINTOS
Last Name:PAYONGAYONG
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JOY ANNE
Other - Middle Name:PAGUNSAN
Other - Last Name:QUINTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2665 GOSHEN AVE
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-8177
Mailing Address - Country:US
Mailing Address - Phone:203-685-7779
Mailing Address - Fax:
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA590776163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse