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Organization
QUANTOM LEAP
Active
Organization
QUANTOM LEAP
Active
Other names
Quantom Leap
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE MARIE MEYERS (C E O)
(559) 447-0770
Entity
Organization
Contact information
Practice address
22368 S. 6TH, SOUTH DOS PALOS, CA 93620
(559) 447-0770
(559) 268-1302
Mailing address
7299 N CHANNING WAY, FRESNO, CA 93711-0487
(559) 447-0770
(559) 268-1302
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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