Individual
KAITLIN QUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1131 E HIGHLAND AVE, PHOENIX, AZ 85014-3639
(602) 667-7827
Mailing address
1131 E HIGHLAND AVE, PHOENIX, AZ 85014-3639
(602) 667-7827
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO03733
AZ
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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