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Organization
SANDY QUEZADA
Active
Organization
SANDY QUEZADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VASTHI CEDILLO (BILLING COORDINATOR)
(626) 859-2089
Entity
Organization
Contact information
Practice address
4740 N GRAND AVE, COVINA, CA 91724-2005
(626) 859-2089
Mailing address
4740 N GRAND AVE, COVINA, CA 91724-2005
(626) 859-2089
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/30/2025
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